Temporal lobe radionecrosis

Case contributed by A.Prof Frank Gaillard

Presentation

Previous nasopharyngeal carcinoma with radiotherapy.

MRI

The right temporal lobe demonstrates increased T2 signal predominantly in the white matter with minimal enhancement. MRS demonstrates preserved choline / NAA but an increase in lipid / lactate peaks.

Case Discussion

The imaging features of radionecrosis are variable and depend both on timing, dose and individual patients. 

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Case information

rID: 4823
Case created: 21st Oct 2008
Last edited: 3rd Dec 2015
Inclusion in quiz mode: Included

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