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High-resolution MRI of radiation-induced intracranial vasculopathy
A 46-year-old woman without traditional stroke risk factors presented with acute left limbs numbness. Two years prior, she had a right cranio-orbital junction meningioma resected and received radiation therapy (target dose DT 60 Gy/30 F, 5 F/W, 2 Gy/F). MRI revealed a diffusion-positive focus within the anterior periventricular white matter. CT angiography showed >50% right middle cerebral artery (MCA) stenosis. High-resolution MRI (HRMRI) suggested concentric vessel wall thickening with contrast enhancement (figure).
Source: Neurology - February 9, 2015 Category: Neurology Authors: Li, M., Wu, S.-W., Xu, W.-H. Tags: All Clinical Neurology, Fungal infections, All Cerebrovascular disease/Stroke NEUROIMAGES Source Type: research