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Improvement of cerebral hypometabolism after resection of radiation-induced necrotic lesion in a patient with cerebral arteriovenous malformation
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アクセス権 |
open access |
権利情報 |
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主題 |
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Intracranial arteriovenous malformation
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stereotactic radiosurgery
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radiation-induced necrosis
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brain edema
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F-18 fluorodeoxyglucose
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positron emission tomography
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NDC
490
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内容注記 |
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Abstract
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A 55-year-old woman underwent radiosurgery for a left cerebral hemisphere arteriovenous malformation (AVM) and developed radiation-induced necrosis causing a massive edema in the surrounding brain tissues. Despite various therapies, the edema expanded to the ipsilateral hemisphere and induced neurological symptoms. The radiation-induced necrotic lesion was surgically removed 4 years after radiosurgery. While the preoperative FDG PET revealed severe hypometabolism in the left cerebrum, the necrotomy significantly ameliorated the brain edema, glucose metabolism (postoperative FDG PET), and symptoms. This case indicates that radiation necrosis-induced neurological deficits may be associated with brain edema and hypometabolism, which could be reversed by appropriate necrotomy.
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出版者 |
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SAGE Publications
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日付 |
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資源タイプ |
journal article |
出版タイプ |
VoR |
資源識別子 |
HDL
http://hdl.handle.net/2115/60585
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関連 |
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DOI
https://doi.org/10.1177/2058460115584112
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収録誌情報 |
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Acta radiologica open
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巻4
号6
開始ページ2058460115584112
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ファイル |
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コンテンツ更新日時 |
2023-07-26 |