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Related Experiment Video

Updated: Nov 4, 2025

Quantifying Cognitive Decrements Caused by Cranial Radiotherapy
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Iatrogenic cerebral radiation necrosis.

Carolina Maria Helena Hilton1, Lena Specht1, Eva Loebner Lund2

  • 1Department of Oncology, Rigshospitalet, København, Denmark.

Practical Neurology
|May 29, 2021
PubMed
Summary

Cerebral radiation necrosis, a severe brain complication from radiation therapy, often has poor treatment outcomes. Bevacizumab showed promise in improving neurological and radiological symptoms in a patient with this condition.

Keywords:
MRcerebrovascularneuropathologyradiotherapy

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Area of Science:

  • Neurology
  • Oncology
  • Radiology

Background:

  • Cerebral radiation necrosis is a significant late complication following brain radiotherapy.
  • Current treatment options for cerebral radiation necrosis are often limited and unsatisfactory.

Observation:

  • A patient developed cerebral radiation necrosis after prolonged fluoroscopic exposure during embolization procedures for an extracranial arteriovenous malformation.
  • The patient's condition was monitored following treatment.

Findings:

  • Treatment with bevacizumab, an antibody targeting vascular endothelial growth factor, led to notable improvements.
  • Neurological deficits and radiological evidence of necrosis showed positive changes after bevacizumab administration.

Implications:

  • Bevacizumab may represent a viable therapeutic option for managing cerebral radiation necrosis.
  • Further research into bevacizumab's efficacy and safety in treating radiation-induced brain injury is warranted.