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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Lacunar Stroke, Cavernous Angioma, and Fusiform Aneurysm Due to Irradiation for Pilocytic Astrocytoma-A Case Report
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Lacunar Stroke, Cavernous Angioma, and Fusiform Aneurysm Due to Irradiation for Pilocytic Astrocytoma-A Case Report

机译：Levunar行程，海绵状血管瘤和梭形动脉瘤引起的硫氰胞性细胞瘤的辐照 - 一个案例报告

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摘要

Radiotherapy is a useful modality for the treatment of brain tumors, but may induce brain degeneration, tumor formation, and vasculopathy in the irradiated field. We describe a rare case of a pediatric patient who presented multiple different types of vascular events consecutively in the irradiated field including lacunar stroke because of occlusion of perforating artery, intraventricular hemorrhage from cavemoma, and subarachnoid hemorrhage because of the rupture of fusiform aneurysm, 6 years after radiotherapy against pilocytic astrocytoma. The life-threatening aneurysm was resected, and its histologic findings revealed the radiation-induced vasculopathy. We should avoid irradiation, and repeat surgical resection for the pediatric cases with pilocytic astrocytoma. Once irradiation was indicated for them, however, we should carefully follow-up not only tumor recurrence but also angiograms to predict any cerebrovascular events.
机译：放射疗法是治疗脑肿瘤的有用形式，但可能会诱导脑筋变性，肿瘤形成和血管病变在辐照领域。 我们描述了一种罕见的患者患者，其在辐照领域连续地呈现多种不同类型的血管事件，包括穿戴动脉，腔内出血的闭塞动脉，脊髓瘤出血，由于梭形动脉瘤的破裂，6年来 放射疗法以防止紫薇星形细胞胶质细胞瘤。 威胁危及生命的动脉瘤被切除，其组织学结果揭示了辐射诱导的血管病变。 我们应该避免辐照，并对硫霉菌星形细胞瘤进行小儿病例的手术切除。 然而，一旦给他们表示照射，我们不仅要仔细跟进肿瘤复发，而且致力于预测任何脑血管事件。

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