Repeated Delayed Onset Cerebellar Radiation Injuries After Linear Accelerator-Based Stereotactic Radiosurgery for Vestibular Schwannoma:—Case Report—
スポンサーリンク
概要
- 論文の詳細を見る
A 63-year-old woman presented with right hearing disturbance and vertigo. Magnetic resonance (MR) imaging revealed the presence of right vestibular schwannoma (VS). Stereotactic radiosurgery (SRS) was performed with a tumor marginal dose of 14 Gy using two isocenters. She was followed up clinically and neuroradiologically using three-dimensional spoiled gradient-echo MR imaging. She experienced temporal neurological deterioration due to peritumoral edema in her right cerebellar peduncle and pons for a few months beginning 1.5 years after SRS, when she experienced transient right facial dysesthesia and hearing deterioration. Ten years after SRS, the patient presented with sudden onset of vertigo, gait disturbance, diplopia, dysarthria, and nausea. MR imaging demonstrated a new lesion in the right cerebellar peduncle, which was diagnosed as radiation-induced stroke. The patient was followed up conservatively and her symptoms disappeared within a few months. Multiple delayed onset radiation injuries are possible sequelae of SRS for VS.
著者
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Nagata Izumi
Department Of Neurosurgery Faculty Of Medicine Kyoto University
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Ujifuku Kenta
Department Of Neurosurgery Nagasaki University Graduate School Of Biomedical Sciences
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Kamada Kensaku
Department Of Neurosurgery Nagasaki University School Of Medicene
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Matsuo Takayuki
Department Of Neurosurgery Nagasaki University School Of Medicine
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Suyama Kazuhiko
Department Of Neurosurgery Nagasaki University School Of Medicine
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HAYASHI Yukishige
Department of Neurosurgery Nagasaki University School of Medicine
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Hayashi Nobuyuki
Department Of Chemistry Faculty Of Science And Engineering Waseda University
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Morikawa Minoru
Department Of Diagnosis Radiology University Of Martland Medical System
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Baba Shiro
Department Of Neurosurgery Nagasaki University Graduate School Of Biomedical Sciences
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HAYASHI Yukishige
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
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MORIKAWA Minoru
Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences
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NAGATA Izumi
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
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Toyoda Keisuke
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
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Okunaga Tomohiro
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
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MATSUO Takayuki
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
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HAYASHI Nobuyuki
Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences
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