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Japanese

Lacunar Infarction in Brain Tumor Patients: Chronic Stage Complication after Radiation Therapy Kiyoshi NAKAZAKI 1 , Shirou TITOKU 1 , Shinzou OTA 1 , Mitiyoshi SATO 1 , Satoshi KOBANAWA 1 , Kazuyuki TUTIDA 1 , Yasue TANAKA 1 , Katsuya GOTO 1 , Taisei OTA 1 1Department of Neurosurgery, Brain Attack Center Ota Memorial Hospital Keyword: radiation , lacunar infarction , late complication pp.1019-1023
Published Date 2007/10/10
DOI https://doi.org/10.11477/mf.1436100632
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 The authors reported two relatively young adults with lacunar infarction that took place many years after radiation therapy. The first case was that of a 41-year-old male presenting with a slight decrease in consciousness and right hemiparesis of sudden occurrence. MRI revealed a lacunar infarction in the left internal capsule. This patient had received radiation therapy and chemotherapy for a right basal ganglia germinoma when he was 24 years old. The tumor completely disappeared and he was able to return to work. The second case was a 24-year-old female presenting with dysesthesia in the right upper extremity and nausea of sudden occurrence. MRI disclosed a lacunar infarct in the right corona radiata. The patient had received radiation therapy for a suprasellar tumor when she was 11 years old. The tumor considerably decreased in size and the patient conducted normal social life thereafter. MRI showed a lacunar infarction in the right corona radiata.

 Review of the literature was made and the possibility of radiation therapy as a causative factor of the lacunar infarction in relatively young adults was discussed.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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