Summary
The association between vasculopathy and radiation is well recognized. Generalized arterial disruption and subsequent stenosis and occlusion is most often described. Additional vascular phenomenon, such as pseudoaneurysm formation, aneurysmal dilatation and aneurysmal rupture, are less common. We document a case of a cerebral aneurysm formation and rupture in the field radiated for cerebral neoplasm.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Aaronoudee MW, Lamberts HB (1977) Arterial wall damage by X-rays and fast neutrons. Int J Radiat Biol 31 (1): 87–94
Azzarelli MD (1984) Multiple fusiform intracranial aneurysms following curative radiation therapy for suprasellar germinoma. J Neurosurg 61: 1141–1145
Comomy JP, Killermeyer RW (1975) Delayed cerebrovascular consequences of therapeutic radiation. Cancer 36: 1702–1708
Darmody WR, Thomas LM, Gurdjian ES (1967) Postirradiation vascular insufficiency syndrome. Neurology 17: 1190–1192
Fonkalsrud EW, Zerubuvel R, Sanchez M, Mahoney A (1977) Serial changes in arterial structure following radiation therapy. Surg Gynec Obstet 145: 395–400
Gassmann A (1899) Zur Histologie der Röntgenulcera. Fortschr Geb Roentgenst 2: 199–207
Gomori JM, Levy P, Weshler Z (1987) Radiation induced aneurysm of the basilar artery — a case report. Angiology — The J Vasc Diseases 38: 147–150
Kagan R, Bruce DW, di Chiro G (1971) Fatal foam cell arteritis of the brain after irradiation for Hodgkin's disease: Angiology and pathology. Stroke 2: 232–238
Loftue C, Biller J, Hart MN, Cornell SH, Hiratzka LF (1987) Management of radiation induced accelerated carotid atherosclerosis. Arch Neurol 44: 711–714
Marial R (1962) Irradiation injury to elastic arteries in the course of treatment for neoplastic disease. Ann Otol Rhinol Laryngol 71: 945–958
McCready RA, Hyde GL, Bivene BA, Mattingly SS, Griffen Ward (1983) Radiation induced arterial injuries. Surgery 93: (2) 306–312
Murrow KE, Toole JF (1989) The effect of radiation on carotid arteries: A review article. Arch Neurol 46: 449–455
Nishi T, Matsukado Y, Kodama T, Hirachi T (1987) Multiple intracranial aneurysm following therapy for pituitary adenoma. Neuro Med Chir (Tokyo) 27: 224–228
Painter MJ, Chritorian AM, Hilal SK (1975) Cerebrovasculopathy following irradiation in childhood. Neurology 25: 189–194
Pakarinen S (1967) Incidence, aetiology and prognosis of primary subarachnoid hemorrhage: A study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neurol Scand T [Suppl] 29: 1–128
St. Louis EL, McLaughlin MJ, Wortzman G (1974) Chronic damage to medium and large arteries following irradiation. J de l'Association Canadienne des Radiologists 25: 94–104
Sessions RB, Wills PI, Alford BR, Harrell JE, Evans RA (1976) Juvenile nasopharyngeal angiofibroma. Radiographic aspects. Laryngoscope 86: 2–18
Silverberg GD, Britt RN, Goffinet DR (1978) Radiation induced carotid disease cancer 41: 130–7
Smith C, Loewenthal CA (1950) A study of elastic arteries in irradiated mice of different ages. Proc Soc Exp Biol Med 75: 859–861
Weir B (1985) Intracranial aneurysms and subarachnoid hemorrhage: An overview. In: Wilkins and Rengachart (eds) Neurosurgery. McGraw Hill, New York, pp 1308–1329
Windholz F (1937) Zur Kenntnis der Blutgefäßveränderungen im röntgenbestrahlten Gewebe. Strahlenterapie 59: 662–670
Wright TL, Brensnan MJ (1976) Radiation induced cerebrovascular disease in children. Neurology 26: 540–543
Zawadzki MB, Anderson M, DeArmond SJ, Conley FK, Johnke RW (1971) Radiation induced large intracranial vessel occlusive vasculopathy. AJR 134: 51–55
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Scodary, D.J., Tew, J.M., Thomas, G.M. et al. Radiation-induced cerebral aneurysms. Acta neurochir 102, 141–144 (1990). https://doi.org/10.1007/BF01405429
Issue Date:
DOI: https://doi.org/10.1007/BF01405429