Bilateral temporal lobectomy for late radionecrosis after radiotherapy for acromegaly. A case report.
A patient with right temporal radionecrosis was submitted to temporal lobectomy for acute intracranial hypertension developed two years after radiotherapy for a GH-secreting pituitary adenoma. Eight months later, a partial left temporal lobectomy was performed because of further radionecrosis. In both instances the cerebral radionecrosis had the clinical and radiological characteristics of a space-occupying lesion. Bilateral temporal lobectomy was followed by a particular psycho-neurological syndrome with bilateral cortical deafness.
D000172:Acromegaly / Q000532:radiotherapy*; D000236:Adenoma / Q000532:radiotherapy; D002533:Cerebral Angiography; D013006:Growth Hormone / Q000378:metabolism; D006313:Hearing Loss, Central / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009483:Neuropsychological Tests; D010911:Pituitary Neoplasms / Q000532:radiotherapy; D011183:Postoperative Complications / Q000209:etiology; D011612:Psychosurgery; D011832:Radiation Injuries / Q000473:pathology / Q000601:surgery*; D013702:Temporal Lobe / Q000473:pathology / Q000528:radiation effects* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D013006:Growth Hormone