MR Imaging of Radiation-Induced Lumbosacral Plexopathy, as a Rare Complication of Concomitant Chemo-Radiation for Cervical Cancer
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Radiation-induced lumbosacral plexopathy (RILSP) is an uncommon complication of pelvic radiotherapy that can result in different degrees of sensory and motor deficits. An age 59 female with cervical cancer, who had received combined chemotherapy and radiation therapy two years before, presented with bilaterally symmetric lowerextremity weakness and tingling sensation. The magnetic resonance imaging showed diffuse T2 bright signal intensity and mild enhancement along the bilateral lumbosacral plexus with no space-occupying masses. RILSP was diagnosed after the exclusion of malignant and inflammatory plexopathies.
Abstract
Radiation-induced lumbosacral plexopathy (RILSP) is an uncommon complication of pelvic radiotherapy that can result in different degrees of sensory and motor deficits. An age 59 female with cervical cancer, who had received combined chemotherapy and radiation therapy two years before, presented with bilaterally symmetric lowerextremity weakness and tingling sensation. The magnetic resonance imaging showed diffuse T2 bright signal intensity and mild enhancement along the bilateral lumbosacral plexus with no space-occupying masses. RILSP was diagnosed after the exclusion of malignant and inflammatory plexopathies.
참고문헌 (9)
- Harper CM Jr, "Distinction between neoplastic and radiation-induced brachial plexopathy, with emphasis on the role of EMG", Neurology, 39, pp.502~506 (1989)
- Taylor BV, "Magnetic resonance imaging in cancer-related lumbosacral plexopathy", Mayo Clin Proc, 72, pp.823~829 (1997)
- Emami B, "Tolerance of normal tissue to therapeutic irradiation", Int J Radiat Oncol Biol Phys, 21, pp.109~122 (1991)
- Tunio M, "Lumbosacral plexus delineation, dose distribution, and its correlation with radiation-induced lumbosacral plexopathy in cervical cancer patients", Onco Targets Ther, 8, pp.21~27 (2015)
- Cavanagh JB, "Effects of x-irradiation on the proliferation of cells in peripheral nerve during Wallerian degeneration in the rat", Br J Radiol, 41, pp.275~281 (1968)
- Delanian S, "The radiation-induced fibroatrophic process : therapeutic perspective via the antioxidant pathway", Radiother Oncol, 73, pp.119~131 (2004)
- Denham JW, "The radiotherapeutic injury--a complex 'wound'", Radiother Oncol, 63, pp.129~145 (2002)
- Ashenhurst EM, "Lumbo-sacral radiculopathy induced by radiation", Can J Neurol Sci, 4, pp.259~263 (1977)
- Soldatos T, "Highresolution 3-T MR neurography of the lumbosacral plexus", Radiographics, 33, pp.967~987 (2013)