Türk Nöroşirürji Dergisi
2004 , Vol 14 , Num 2
Cerebral Radiation Necrosis
SSK Okmeydanı Eğitim Hastanesi, Nöroşirurji Kliniği, İstanbul
Radiation necrosis is one of the most important delayed side effect of
radiotherapy. It is very difficult to distinguish radiation necrosis from tumour
recurrence via clinical and radiological findings. Histological examination is
essential for accurate diagnosis. Aggresive surgery is recommended in
management. Cerebral radiation necrosis can be seen after either radiotherapy
that is applied to the primary intracranial malignancies or out of cranium
especially nasopharyngeal malignancies. In this report we presented 7 cases of
cerebral radiation necrosis that were diagnosed in our clinic during 1998-2002.
We analyse the pathological, clinical and radiological features and treatment of
these lesions.
Anahtar Kelimeler :
Aggresive surgery, dexamethasone, radiation necrosis, radiotherapy