Late pseudotumoral brain necrosis following irradiation of a scalp neoplasm. Case report.

The authors report the case of a 70-year-old man who developed intracranial hypertension and lef-arm paresis 2 years after irradiation for the right preauricular basal cell epithelioma. Angiography disclosed a right temporal lobe mass and the histopathological diagnosis was late postirradiation necrosis of the brain. Postoperatively, dexamethasone was given in increasing doses up to 60 mg/day for control of cerebral edema. The patient died of gastrointestinal bleeding on the 60th postoperative day.