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Complete Occlusion of Right Middle Cerebral Artery by Radiation Therapy after Removal of Pituitary Adenoma: Case report Masahito KATOH 1 , Hiroyasu KAMIYAMA 1 , Hiroshi ABE 1 , Toshimitsu AIDA 1 , Shuugo TAKIKAWA 1 , Satoshi KURODA 1 1Department of Neurosurgery, Hokkaido University School of Medicine Keyword: Radiation angiopathy , Moya-Moya syndrome pp.855-859
Published Date 1990/9/10
DOI https://doi.org/10.11477/mf.1436900138
  • Abstract
  • Look Inside

Radiation angiopathy is a well-known complication accompanying irradiation. But the majority of effected vessels are small vessels. Cases of intracranial major arteries being effected are not so numerous.

We report the case of a 47-year-old female patient. The removal of pituitary adenoma was carried out on her in 1982. After that, 4500rad irradiation was per-formed. It was about six years after irradiation that thefirst angiography was made.

Right MCA occlusion, multiple stenosis of both ACAs and Moya-Moya like vessels were discovered.

On admission light paresis on her left lower extrem-ity was recognized and hyperlipidemia was noted. It was interesting that the multiple stenosis was found in an area outside the irradiation field. MCA-STA anastomosis was performed and the pro-gnosis was good.

The authors described this case and reviewed the pertinent literature.


Copyright © 1990, 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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