Temporal lobe radionecrosis

Case contributed by A.Prof Frank Gaillard

Presentation

Previous nasopharyngeal carcinoma with radiotherapy.

Modality: 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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