INTRACRANIAL ARTERIAL-OCCLUSION ASSOCIATED WITH HIGH-ACTIVITY I-125 BRACHYTHERAPY FOR GLIOBLASTOMA

被引:17
作者
BERNSTEIN, M
LUMLEY, M
DAVIDSON, G
LAPERRIERE, N
LEUNG, P
机构
[1] TORONTO HOSP, DIV NEUROPATHOL, TORONTO M5T 2S8, ON, CANADA
[2] UNIV TORONTO, PRINCESS MARGARET HOSP, DEPT RADIAT ONCOL, TORONTO, ON, CANADA
[3] UNIV TORONTO, PRINCESS MARGARET HOSP, DEPT PHYS, TORONTO, ON, CANADA
关键词
BRACHYTHERAPY; RADIATION-INDUCED STROKE; COMPLICATIONS; EXPERIMENTAL THERAPY; BRAIN TUMOR;
D O I
10.1007/BF01049980
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We describe two patients who developed devastating strokes due to intracranial arterial occlusion 15 weeks and 97 weeks following high dose stereotactic iodine-125 brachytherapy for glioblastoma multiforme. In both cases the occlusion was within the implant volume at points receiving 110-281 Gy and there was no other evidence of significant atherosclerosis in the patients. We therefore conclude that these complications were a direct result of the brachytherapy. The phenomenon of radiation-induced occlusion of large cerebral arteries is reviewed.
引用
收藏
页码:253 / 260
页数:8
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