Bilateral temporal lobe necrosis after radiotherapy: confounding SPECT results.

Autor: de Vries B; Department of Neurology, University Hospital Utrecht, The Netherlands., Taphoorn MJ, van Isselt JW, Terhaard CH, Jansen GH, Elsenburg PH
Jazyk: angličtina
Zdroj: Neurology [Neurology] 1998 Oct; Vol. 51 (4), pp. 1183-4.
DOI: 10.1212/wnl.51.4.1183
Abstrakt: A patient with seizures and a contrast-enhancing temporal lesion after radiation therapy for a chondrosarcoma of the nasal septum is described. To differentiate between radiation necrosis and recurrent tumor, thallium-201 (201Tl) SPECT was used. 201Tl SPECT revealed high local accumulation suggesting tumor growth; however, pathologic examination demonstrated focal necrosis with reactive changes but without tumor. The 201Tl SPECT findings in this patient demonstrate a possible diagnostic pitfall in differentiating recurrent tumor from radiation necrosis.
Databáze: MEDLINE