Se describe un caso de radionecrosis cerebral en una paciente de 64 años que tras ser operada de un oligodendroglioma en la región fronto-temporal derecha, recibió tratamiento radioterápico mostrando precozmente síntomas compatibles con lesión cerebral postrradiación.
A los 3 meses se le encontró en la TAC un voluminoso quiste intracerebral en la región occipital derecha. Fue operada urgentemente y se recuperó de sus molestias.
El estudio histológico confirmó la existencia de lesiones de radionecrosis en las paredes del quiste.
This is a case of precocious and cystic brain radionecrosis: a 64-year-old woman recived therapeutic radiation (4.400 rads) after being operated on for an oligodendroglioma in the right fronto-temporal region. Not long after the beginning of the radiotherapy, she developed symptoms suggestives of radiation encephalopathy.
Three months later, C. T. disclosed an occipital cyst in the right hemisphere, which was readily operated on. The patient did well, and the histological examination of the cystic walls was typical of radionecrosis.
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