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放疗后脑迟发性坏死

Late post-irradiation necrosis of the brain.

作者信息

Julow J, Slowik F, Kelemen J, Gorácz I

出版信息

Acta Neurochir (Wien). 1979;46(1-2):135-50. doi: 10.1007/BF01407687.

DOI:10.1007/BF01407687
PMID:452964
Abstract

Three examples of late post-irradiation brain necrosis are reported. In two cases operation was performed on account of the space-occupying effects of the lesions, and in the third case the lesion was found post-mortem. The aetiology and pathology of the condition are discussed. Our findings in the three cases described are contrasted with those in 29 patients who had been submitted to similar doses of irradiation, but had not developed necrosis. The literature on pathogenesis is briefly reviewed.

摘要

报告了3例放射性脑坏死晚期病例。其中2例因病变的占位效应而进行了手术,第3例是在尸检时发现的。对该病的病因和病理进行了讨论。将我们所描述的3例病例的研究结果与29例接受了相似照射剂量但未发生坏死的患者的结果进行了对比。对发病机制的文献进行了简要综述。

相似文献

1
Late post-irradiation necrosis of the brain.放疗后脑迟发性坏死
Acta Neurochir (Wien). 1979;46(1-2):135-50. doi: 10.1007/BF01407687.
2
Radiation necrosis or glioma recurrence: is computer-assisted stereotactic biopsy useful?放射性坏死还是胶质瘤复发:计算机辅助立体定向活检有用吗?
J Neurosurg. 1995 Mar;82(3):436-44. doi: 10.3171/jns.1995.82.3.0436.
3
Radiation necrosis or recurrence.放射性坏死或复发。
J Neurosurg. 1996 Jan;84(1):148-9. doi: 10.3171/jns.1996.84.1.0148.
4
[Histopathological studies of radiation necrosis; with special reference to histological characteristics of necrosis seen in autopsy studies of brain neoplasms].[放射性坏死的组织病理学研究;特别提及脑肿瘤尸检研究中所见坏死的组织学特征]
No To Shinkei. 1977 Jan;29(1):105-16.
5
The morphologic effects of radiation administered therapeutically for intracranial gliomas: a postmortem study of 25 cases.治疗性放疗对颅内胶质瘤的形态学影响:25例尸检研究
Cancer. 1979 Oct;44(4):1256-72. doi: 10.1002/1097-0142(197910)44:4<1256::aid-cncr2820440415>3.0.co;2-t.
6
[Complication of irradiation in brain tumors].[脑肿瘤放疗并发症]
Gan No Rinsho. 1989 Sep;35(11):1347-53.
7
Radiation necrosis of the brain: correlation between patterns on computed tomography and dose of radiation.脑放射性坏死:计算机断层扫描图像模式与辐射剂量之间的相关性
J Comput Assist Tomogr. 1979 Apr;3(2):241-9.
8
Brain Metastasis Recurrence Versus Radiation Necrosis: Evaluation and Treatment.脑转移瘤复发与放射性坏死:评估与治疗。
Neurosurg Clin N Am. 2020 Oct;31(4):575-587. doi: 10.1016/j.nec.2020.06.007. Epub 2020 Aug 14.
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Repeating hemorrhage with a long duration after radiotherapy for glioma: radiological and histological observations.胶质瘤放疗后长期反复出血:影像学和组织学观察
Noshuyo Byori. 1996 Apr;13(1):85-92.
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Brain necrosis after radiotherapy for primary intracerebral tumor.原发性脑肿瘤放疗后脑坏死。
Neurosurgery. 1986 Jan;18(1):67-74. doi: 10.1227/00006123-198601000-00011.

引用本文的文献

1
Cerebral radionecrosis in patients with nasopharyngeal carcinoma.鼻咽癌患者的脑放射性坏死
Kaohsiung J Med Sci. 2005 Oct;21(10):452-9. doi: 10.1016/S1607-551X(09)70150-0.
2
Results of contemporary surgical management of radiation necrosis using frameless stereotaxis and intraoperative magnetic resonance imaging.使用无框架立体定向和术中磁共振成像对放射性坏死进行当代外科治疗的结果。
J Neurooncol. 2004 May;68(1):41-7. doi: 10.1023/b:neon.0000024744.16031.e9.
3
Conservative treatment of delayed cerebral radiation necrosis.迟发性脑放射性坏死的保守治疗

本文引用的文献

1
Necrosis of the brain due to radiation therapy; clinical and pathological observations.放射治疗导致的脑坏死;临床与病理观察
J Neurol Neurosurg Psychiatry. 1948 Aug;11(3):183-98. doi: 10.1136/jnnp.11.3.183.
2
Radiation myelopathy.放射性脊髓病
Brain. 1961 Sep;84:460-79. doi: 10.1093/brain/84.3.460.
3
[On the radiation sensitivity of brain tumors and the so-called radiation late necrosis of the brain].
Dtsch Med Wochenschr. 1960 Feb 19;85:293-8. doi: 10.1055/s-0028-1112430.
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Delayed radionecrosis of the brain following therapeutic x-radiation of the pituitary.
Brain. 1961 Mar;84:85-101. doi: 10.1093/brain/84.1.85.
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On tolerance of brain tissue and sensitivity of brain tumours to irradiation.
Acta Radiol Suppl. 1958;170:1-73.
6
Time-dose relationship and morphology of delayed radiation lesions of the brain in rabbits.兔脑延迟性放射性损伤的时间-剂量关系及形态学
Acta Radiol Suppl. 1958;167:1-118.
7
Alterations in the glial cells following irradiation of the brain in primates.
AMA Arch Pathol. 1954 May;57(5):383-91.
8
Radiation necrosis of the brain in acromegaly.肢端肥大症患者的脑放射性坏死
J Neurosurg. 1966 Nov;25(5):536-42. doi: 10.3171/jns.1966.25.5.0536.
9
Delayed radiation necrosis of the hypothalamus. Report of a case simulating recurrent craniopharyngioma.下丘脑迟发性放射性坏死。1例酷似复发性颅咽管瘤病例报告。
Arch Neurol. 1969 Oct;21(4):425-30. doi: 10.1001/archneur.1969.00480160097011.
10
[Postradiation damage of the temporal lobe following high energy irradiation of malignancies of the epipharynx].[下咽恶性肿瘤高能照射后颞叶的放射性损伤]
Schweiz Med Wochenschr. 1973 Feb 17;103(7):225-31.