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Late-onset radiation-induced vasculopathy and stroke in a child with medulloblastoma
Lalit R Bansal1, Jeffrey Belair2, Dana Cummings3
1Division of Child Neurology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA, USA drlalitbansal@hotmail.com.
Abstract:
We report a case of a 15-year-old boy who presented to our institution with left-sided weakness and slurred speech. He had a history of medulloblastoma diagnosed at 3 years of age, status postsurgical resection and craniospinal radiation. Magnetic resonance imaging (MRI) of brain revealed a right paramedian pontine infarction, suspected secondary to late-onset radiation-induced vasculopathy of the vertebrobasilar system. Radiation to the brain is associated with increased incidence of ischemic stroke. Clinicians should have a high index of suspicion for stroke when these patients present with new neurologic symptoms.
Insights
A teenage boy with a history of medulloblastoma experienced stroke symptoms due to radiation-induced vasculopathy. This case highlights the risk of ischemic stroke in patients receiving brain radiation therapy.
Area of Science:
- Neurology
- Oncology
- Radiology
Background:
- Brain radiation therapy is a common treatment for pediatric medulloblastoma.
- Late-onset complications of radiation therapy, such as vasculopathy, can occur years after treatment.
- Ischemic stroke is a serious potential side effect of radiation-induced vasculopathy.
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