Cortical laminar necrosis in childhood intracranial germ cell tumor survivors.
We report two childhood germ cell tumor survivors treated for multifocal or large suprasellar tumors followed by the presentation of acute neurological deficits and extensive cortical laminar necrosis on magnetic resonance imaging (MRI), 7 and 34 months after cranial irradiation. This complication, though uncommon, represents another manifestation of delayed treatment-related brain injury that can be catastrophic and leads to significant morbidity.
Khong
Pek-Lan
PL
Department of Diagnostic Radiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. plkhong@hkucc.hku.hk
Ng
Kim-Ching
KC
Kwong
Dora L W
DL
Ooi
Gaik-Cheng
GC
Chan
Godfrey C F
GC
D000293:Adolescent; D001932:Brain Neoplasms / Q000532:radiotherapy*; D002540:Cerebral Cortex / Q000473:pathology*; D002648:Child; D016371:Cranial Irradiation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D009373:Neoplasms, Germ Cell and Embryonal / Q000532:radiotherapy*