Abstract
We describe a patient with multiple cysts in the cerebral white matter, several years after whole brain radiation therapy (WBRT) for a solitary cerebellar metastasis of a lung carcinoma. MR images of the brain show diffuse white matter changes, 1 year after radiation, and cyst formation in the white matter, starting 3.5 years later. We conclude that cysts in the cerebral white matter can be a late stage of white matter damage after whole brain radiation therapy in long-term survivors with brain metastases.
MeSH terms
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Adenocarcinoma / radiotherapy
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Adenocarcinoma / secondary
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Adult
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Brain / pathology
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Brain / radiation effects
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Brain Neoplasms / radiotherapy
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Brain Neoplasms / secondary
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Central Nervous System Cysts / diagnosis
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Central Nervous System Cysts / etiology*
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Cerebellar Neoplasms / diagnosis
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Cerebellar Neoplasms / etiology*
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Female
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Humans
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Lung Neoplasms / pathology
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Magnetic Resonance Spectroscopy
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Neoplasms, Radiation-Induced / diagnosis
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Neoplasms, Radiation-Induced / etiology*
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Radiation Dosage
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Radiotherapy / adverse effects