Atypical tentorial meningioma 30 years after radiotherapy for a pituitary adenoma

A. Santoro, G. Minniti, S. Paolini, E. Passacantilli, P. Missori, A. Frati, G. P. Cantore

Research output: Contribution to journalArticlepeer-review

Abstract

Although the human central nervous system used to be considered relatively resistant to the carcinogenic action of ionizing radiation, several lines of evidence now document a high incidence of secondary tumors in irradiated patients. The numerous reports of radiation-induced cerebral meningiomas generally distinguish those induced by high-dose radiation from those induced by low-dose radiation. We describe the case of patient who underwent subtotal resection of a chromophobe pituitary adenoma at the age of 18 years, who was successively treated by conventional fractionated radiotherapy with gamma rays emitted by a source of 60Co until a total dose of 41 Gy. Over the next 30 years the patient experienced all the known late effects of radiation, including panhypopituitarism, cranial-nerve deficits (II, III and VI), massive radiation necrosis involving the left cerebral hemisphere and causing right hemiparesis and aphasia and, ultimately, an atypical tentorial meningioma with early recurrence after total resection.

Original languageEnglish
Pages (from-to)463-467
Number of pages5
JournalNeurological Sciences
Volume22
Issue number6
DOIs
Publication statusPublished - 2002

Keywords

  • Meningioma
  • Pituitary adenoma
  • Radiotherapy

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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