Successful Stereotactic Radiosurgery Treatment of a Rare Pontine Cavernoma at Medicover Cancer Institute

19th Jan 2026 | Medicover Hospitals | Cancer Institute, Hyderabad

At Medicover Cancer Institute in Hyderabad, we successfully treated a rare and high-risk brain condition called hemorrhagic pontine cavernoma using advanced stereotactic radiosurgery (SRS). This treatment avoided the need for high-risk open brain surgery.

Successful Pontine Cavernoma Treatment in Hyderabad

The Patient's Condition

A patient named Ambati Ramulu (57 years old) presented with the following symptoms:

An MRI scan of the brain revealed a cavernoma in the pons. This condition is caused by an abnormal formation of blood vessels in the pons. It is a critical part of the brain. The pons controls vital neurological functions. Lesions in this area carry a high risk of bleeding. Open surgery in this region is extremely risky.

Advanced, Non-Surgical Treatment Approach

Considering the deep and sensitive location of the lesion, our medical team chose Stereotactic Radiosurgery (SRS).

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SRS is:

  • Highly precise
  • Non-invasive
  • Focused on the lesion only
  • Safe for surrounding brain tissue

The patient received:

  • 5 SRS sessions (fractions)
  • Total dose: 25 Gy
  • 5 Gy per session

The treatment was:

  • Well tolerated
  • Performed on an outpatient basis
  • Completed without complications

The patient was discharged in stable condition on the same day as his final session.

Clinical Outcome

After treatment:

  • No fresh bleeding episodes were observed
  • Neurological condition remained stable
  • Recovery progressed smoothly

The patient is currently under regular follow-up and continues to do well.

Doctor Perspective

Dr Kandra Prasanth Reddy, Sr.Consultant Radiation Oncologist, Medicover Cancer Institute, said:

“Pontine cavernomas are extremely challenging due to their deep location. Stereotactic Radiosurgery provides a safe and effective option when surgery carries high risk. In this case, SRS helped control the lesion successfully without further bleeding.”

Why SRS Matters?

Stereotactic Radiosurgery is especially beneficial for:

  • Deep-seated brain lesions
  • High-risk surgical locations
  • Patients not suitable for open surgery

It offers a safe, surgery-free alternative with excellent outcomes.

Why Surgery Was Not an Option?

Surgery in the pons carries a very high risk. Open surgery can result in permanent neurological deficits. Considering the location and bleeding risk, our team decided that Stereotactic Radiosurgery (SRS) was the safest and most effective treatment option.

Our Commitment

At Medicover Cancer Institute in Hyderabad, we are committed to:

  • Advanced non-invasive cancer and neuro treatments
  • Precision radiation therapy
  • Patient safety and comfort
  • Managing rare and complex conditions

This achievement highlights our expertise in state-of-the-art radiation oncology and the management of complex brain lesions.


Contributors

Dr Kandra Prasanth Reddy

Dr Kandra Prasanth Reddy

Sr.Consultant Radiation Oncologist

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