Abstract
Temporal lobe necrosis (TLN) is often seen in nasopharyngeal carcinoma secondary to less frequent other extracranial malignancies. Radiotherapy is one of the most frequently used methods in the treatment of nasopharyngeal carcinoma. This method can have many side effects. One of the side effects associated with high-dose radiotherapy is cerebral necrosis.
Highlights
Nasopharyngeal cancer is a remarkable geographic and racial distribution worldwide
Reduced NAA levels and very clear lactate peak were observed in multivoxel 1H magnetic resonance (MR) spectroscopy examination, but there was no significant increase in choline (Figure 1)
The necrosis secondary to radiation from the temporal lobe is most commonly seen in nasopharyngeal carcinomas and a less frequency in other extracranial malignancies
Summary
Nasopharyngeal cancer is a remarkable geographic and racial distribution worldwide. It is a rare malignancy with less than 1 incidence per 100,000 population per year [1]. Radiation-induced temporal lobe necrosis (TLN) was first described by Fisher and Holfelder in 1930 after treatment of the basal cell carcinoma of the temporal region [3]. TLN is a lesion that mimics primary tumor recurrence, brain metastasis or high grade primary brain tumors. This case report emphasizes the importance of accurate and timely diagnosis of temporal lobe necrosis and the Citation: Koc AM, Tuncez HC, Esen O, Adibelli ZH (2019) An Atypical Case: Bilateral Radiation Necrosis. Clinical and radiological changes seen during the follow-up period
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