Bright Brain - Dim Doctors!

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Identifier walsh_2002_s3_c3
Title Bright Brain - Dim Doctors!
Creator Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine
Subject Astrocytoma; Abducens Nerve Diseases; Pons; Radiation Injuries; Necrosis; Diplopia
History A 30-year old female with a 1-week history of progressive right hemiparesis, ataxia and diplopia. Previoous history significant for cerebellar pilocytic astrocytoma and bilateral trochlear nerve palsies.
Pathology Periventrial demyelination secondary to XRT.
Disease/Diagnosis Radiation necrosis of the pons
Clinical N/A
Presenting Symptom Hemiparesis; Ataxia; Diplopia
Neuroimaging MRI
Treatment Steroids
Date 2002
References 1. Amirjamshidi A, Abbassioum K. Radiation-induced tumors of the central nervous system occurring in childhood and adolescence. Child's Nerv Syst 2000; 16: 390-397. 2. Chan YL, Yeung DKW, Leung SF, Cao G. Proton magnetic resonance spectroscopy of late delayed radiation-induced injury of the brain. J Magn Reson Imaging 1999; 10: 130-137. 3. Hazle JD, Jackson EF, Schomer DF, Leeds NE. Dynamic imaging of intracranial lesions using fast spin-echo imaging: differentiation of brain tumors and treatment effects. J Magn Reson Imaging 1997; 7: 1084-1093. 4. Kahn D, Follet KA, Bushnell DL, et al. Diagnosis of recurrent brain tumor: value of 201TI SPECT vs 18F-fluorodexyglucose PET. AJR Am J Roentgenol 1994; 163: 1459-1465. 5. Kumar AJ, Leeds NE, Fuller GN, et al. Malignant gliomas: MR imaging spectrum of radiation therapy- and chemotherapy-induced necrosis of the brain after treatment. Radiology 2000; 217: 377-384. 6. Le Bihan D, Turner R, Douek P, Patronas N. Diffusion MR Imaging: clinical applications. AJR Am J Roentgenol 1992; 159: 591-599. 7. Roberts HC, Roberts TPL, Brasch RC, Dillon WP. Quantitative measurement of microvascular permeability in human brain tumors achieved using dynamic contrast enhanced MR imaging: correlation with histologic grade. AJNR Am J Neuroradiol 2000; 21: 891-899. 8. Sugahara T, Korogi Y, Shigematsu Y, et al. Value of dynamic susceptibility contrast magnetic resonance imaging in the evaluation of intracranial tumors. Top Magn Reson Imaging 1999; 10: 114-124. 9. Sugahara T, Korogi Y, Tomiguchi S, et al. Posttherapeutic intraaxial brain tumor: the value of perfusion-sensitive contrast-enhanced MR imaging for differentiating tumor recurrence from nonneoplastic contrast-enhancing tissue. AJNR Am J Neuroradiol 2000; 21: 901-909. 10. Tsui EYK, Chan JHM, Leung TW, et al. Radionecrosis of the temporal lobe: dynamic susceptibility contrast MRI. Neuroradiology 2000; 42: 149-152.
Language eng
Format application/pdf
Type Text
Source 28th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of Case 3, Session III, Walsh Session, NANOS 2002
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6sq933w
Contributor Primary Biousse, Valerie
Contributor Secondary Rucker, Janet; Newman, Nancy J.; Hunter, Stephen B.; Hudgins,Patricia A.
Setname ehsl_novel_fbw
ID 177681
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sq933w
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