[Two cases of cerebral infarction due to focal irradiation for glioma in adults]

No Shinkei Geka. 2015 Apr;43(4):344-51. doi: 10.11477/mf.1436203018.
[Article in Japanese]

Abstract

Radiation-induced vasculopathy is a complication of radiation therapy. Most reports regarding post-irradiation ischemic stroke with intracranial tumors are restricted to pediatric cases. Here we report two adult cases of delayed brain infarction due to anterior and middle cerebral artery stenosis or occlusion seemingly caused by focal radiation therapy for malignant glioma. Although radiation-induced ischemic stroke in adults is relatively uncommon, it is possible that the morbidity rate of radiation-induced stroke in malignant glioma patients will increase with prolonged survival due to advances in therapy. Therefore, regular evaluation of intracranial vasculature following radiation therapy is necessary.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Neoplasms / radiotherapy*
  • Cerebral Angiography
  • Cerebral Infarction / diagnostic imaging
  • Cerebral Infarction / etiology*
  • Cerebral Infarction / pathology
  • Female
  • Glioma / radiotherapy*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Radiation Injuries / diagnostic imaging
  • Radiation Injuries / etiology*
  • Radiation Injuries / pathology
  • Radiotherapy / adverse effects
  • Tomography, Emission-Computed, Single-Photon