Abstract
We report the case of a patient who underwent radiotherapy of the neck because of an epidermoid carcinoma in Rosenmüller's fossa. Eleven months later, T1-weighted brain magnetic resonance imaging (MRI) revealed a bulbo-pontine lesion, and the clinical course and sequential MRI results led to a diagnosis of radionecrosis-induced rhombencephalopathy. At a distance of more than three years, the lesion is no longer visible on MRI images but the severe neurological deficits remain. The clinical picture has not been improved by treatment with prednisone, hyperbaric oxygen, symptomatic therapies or anticoagulants.
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Received: 14 April 1998 / Accepted in revised form: 24 November 1998
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Cirafisi, C., Verderame, F. Radiation-induced rhombencephalopathy. Ital J Neurol Sci 20, 55–58 (1999). https://doi.org/10.1007/s100720050011
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DOI: https://doi.org/10.1007/s100720050011