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Progressive Cerebral Occlusive Disease after Radiation Therapy
Stroke 26:131-136, Bitzer,M.&Topka,H., 1995
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Article Abstract
A 19 year old woman presented with recurrent ischemic brain lesions after radiation therapy for treatment of a craniopharyngioma during childhood. Cerebral angiography 6 and 12 years after completion of radiation therapy revealed progressive cerebral arterial occlusive disease involving the internal carotid artery on either side of the circle of Willis,with abnormal netlike vessels and transdural anastomoses(moyamoya syndrome). Extensive similarities between irradiation-induced cerebral vasculopathy and primary moyamoya syndrome(Nishimoto's disease)support the notion that both disorders share common pathophysiological mechanisms.The occurrence of moyamoya-like vascular changes may not depend on specific trigger mechanisms but may rather represent a nonspecific response of the developing vascular system to a number of various noxious events.
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angiography,cerebral
arteriopathy
carotid artery occlusion,intracranial
carotid artery stenosis,intracranial
cerebral ischemia
cerebrovascular accident
moyamoya
moyamoya,adult
radiation therapy,CNS treatment and complications with
radiation vasculopathy
seizure
transient ischemic attack
vasculopathy
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