Coexistence of Radiation-induced Meningiomas and Shunt Related Pneumocephalus in a Patient with Successfully Treated Medulloblastoma
Journal of Korean Neurosurgical Society
;
: 403-407, 2007.
Artículo
en Inglés
| WPRIM
| ID: wpr-118047
ABSTRACT
The authors encountered a case of simultaneous radiation-induced multiple meningiomas and ventriculoperitoneal (VP) shunt-related pneumocephalus. A 35-year-old man, who had undergone surgery for medulloblastoma 21 years previously and subsequently received high dose craniospinal irradiation with adjuvant chemotherapy and later underwent a VP shunt because of hydrocephalus, presented with a severe headache and weakness of both lower extremities. Computed tomography showed an air pocket lesion in the left temporal lobe and a large amount of pneumocephalus with a bony defect of the left tegmen tympani. In addition, a 3 cm sized well enhancing mass was noted in the in the right middle cranial fossa and additional small enhancing nodule in the left frontal pole. He was treated by left temporal craniotomy and repair of the bony and dural defects of the left tegmentum tympanum through extradural and intradural approaches, respectively. Afterwards, he underwent right temporal craniotomy and gross total removal of a rapidly growing right middle fossa mass and a left frontal mass. The histological examination was consistent with atypical meningioma, WHO grade II. In conclusion, physicians have to consider the serious long term complications of high dose radiation therapy and VP shunt placement and need to perform the neuroradiologic follow-up after such treatments for several decades.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumocéfalo
/
Lóbulo Temporal
/
Estudios de Seguimiento
/
Quimioterapia Adyuvante
/
Derivación Ventriculoperitoneal
/
Craneotomía
/
Extremidad Inferior
/
Fosa Craneal Media
/
Oído Medio
/
Irradiación Craneoespinal
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2007
Tipo del documento:
Artículo
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