Radiation-induced cerebral vasculopathy

Case contributed by Angel Donato
Diagnosis almost certain

Presentation

History of medulloblastoma. Resection 20 years ago and radiotherapy.

Patient Data

Age: 40 years
Gender: Male

MRI shows multiple bilateral and diffuse focal areas of blooming artifact with susceptibility induced signal loss of variable size in susceptibility-weighted imaging (SWI) within the supra brain parenchyma related to microbleeds.

Case Discussion

Radiation-induced cerebral vasculopathy depends on the type and dose of radiation that can produce intracranial hemorrhages such as microhemorrhages, ischemic stroke, radionecrosis, stenosis of large vessels, capillary telangiectasia, and cavernomas.

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