How do you approach CNS directed therapy in a patient with Parkinson's disease?
Would you avoid WBRT or PCI if otherwise indicated?
Answer from: Radiation Oncologist at Academic Institution
I have in the past encountered very few patients with Parkinson’s disease who have required CNS radiotherapy for tumors. The main thing is if the patient has any head tremors at rest (which is rare), extra care for good head immobilization, and perhaps additional target PTV, would then need to...