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.
D000368:Aged; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology*; D001932:Brain Neoplasms / Q000175:diagnosis; D002280:Basal Cell Carcinoma / Q000150:complications / Q000532:radiotherapy*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009336:Necrosis; D011832:Radiation Injuries; D012535:Scalp; D012878:Skin Neoplasms / Q000150:complications / Q000532:radiotherapy*