Reversible Oedema and Necrosis after Irradiation of the Brain Diagnostic Procedures and Clinical Manifestations
| Autor: | Henry Hirschberg, Kjell Watne, Bjarne Hager, M. Heier |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Exacerbation medicine.medical_treatment Brain Edema Neurological examination Cerebral edema Necrosis Humans Medicine Radiology Nuclear Medicine and imaging Child Chemotherapy Radiotherapy medicine.diagnostic_test Brain Neoplasms business.industry Brain Astrocytoma Electroencephalography Hematology General Medicine Middle Aged medicine.disease Neurosurgical Procedure Surgery Radiation therapy Oncology Female Tomography X-Ray Computed Complication business |
| Zdroj: | Acta Oncologica. 29:891-895 |
| ISSN: | 1651-226X 0284-186X |
| DOI: | 10.3109/02841869009096385 |
| Popis: | One hundred and twelve patients with primary brain tumour were followed every 3 months during and after brain irradiation and chemotherapy with brain scanning, EEG and neurological examination. Early delayed radiation reactions were seen in 6 patients. The symptoms developed 2-8 months after irradiation and lasted for 2-3 months. Two types of reactions were observed. One mild form appeared after 2-3 months and was characterized by low-attenuated expansive areas within the irradiated volume, without contrast enhancement on CT scan. Severe reactions appeared in some patients after 6 months, with exacerbation of earlier clinical signs and contrast enhancing lesions on CT. Regression of the CT finding was seen after 3 months. Recognition of this syndrome is important, as a new neurosurgical procedure might cause lasting neurological sequelae in patients who otherwise would recover without treatment. |
| Databáze: | OpenAIRE |
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