Clinical and radiographic features of peritumoral infarction following resection of glioblastoma
Focal areas of restricted diffusion adjacent to high-grade glioma resection cavities were detected in 70% of patients on immediate postoperative MRI studies. Follow-up studies demonstrated cystic encephalomalacia in 91% of these foci, suggesting the presence of infarction, and the infarcted tissue d...
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| Veröffentlicht in: | Neurology 2006-11, Vol.67 (9), p.1668-1670 |
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| container_title | Neurology |
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| creator | ULMER, S BRAGA, T. A BARKER, F. G LEV, M. H GONZALEZ, R. G HENSON, J. W |
| description | Focal areas of restricted diffusion adjacent to high-grade glioma resection cavities were detected in 70% of patients on immediate postoperative MRI studies. Follow-up studies demonstrated cystic encephalomalacia in 91% of these foci, suggesting the presence of infarction, and the infarcted tissue demonstrated enhancement in 43% of cases. New postoperative deficits correlated well with the anatomic region of infarction in six patients. Enhancement in perioperative infarcts can mimic tumor progression on follow-up imaging studies. |
| doi_str_mv | 10.1212/01.wnl.0000242894.21705.3c |
| format | Article |
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A ; BARKER, F. G ; LEV, M. H ; GONZALEZ, R. G ; HENSON, J. W</creator><creatorcontrib>ULMER, S ; BRAGA, T. A ; BARKER, F. G ; LEV, M. H ; GONZALEZ, R. G ; HENSON, J. W</creatorcontrib><description>Focal areas of restricted diffusion adjacent to high-grade glioma resection cavities were detected in 70% of patients on immediate postoperative MRI studies. Follow-up studies demonstrated cystic encephalomalacia in 91% of these foci, suggesting the presence of infarction, and the infarcted tissue demonstrated enhancement in 43% of cases. New postoperative deficits correlated well with the anatomic region of infarction in six patients. Enhancement in perioperative infarcts can mimic tumor progression on follow-up imaging studies.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/01.wnl.0000242894.21705.3c</identifier><identifier>PMID: 17101902</identifier><identifier>CODEN: NEURAI</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Brain - blood supply ; Brain - pathology ; Brain - physiopathology ; Brain Infarction - etiology ; Brain Infarction - pathology ; Brain Infarction - physiopathology ; Brain Neoplasms - blood supply ; Brain Neoplasms - physiopathology ; Brain Neoplasms - surgery ; Cerebral Arteries - injuries ; Cerebral Arteries - pathology ; Cerebral Arteries - physiopathology ; Cerebrovascular Circulation - physiology ; Confusion - etiology ; Confusion - pathology ; Confusion - physiopathology ; Diffusion Magnetic Resonance Imaging - standards ; Female ; Glioblastoma - blood supply ; Glioblastoma - physiopathology ; Glioblastoma - surgery ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Microcirculation - injuries ; Microcirculation - pathology ; Microcirculation - physiopathology ; Middle Aged ; Neurology ; Neurosurgical Procedures - adverse effects ; Paresis - etiology ; Paresis - pathology ; Paresis - physiopathology ; Postoperative Complications - etiology ; Postoperative Complications - pathology ; Postoperative Complications - physiopathology ; Predictive Value of Tests ; Traumas. 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A</creatorcontrib><creatorcontrib>BARKER, F. G</creatorcontrib><creatorcontrib>LEV, M. H</creatorcontrib><creatorcontrib>GONZALEZ, R. G</creatorcontrib><creatorcontrib>HENSON, J. W</creatorcontrib><title>Clinical and radiographic features of peritumoral infarction following resection of glioblastoma</title><title>Neurology</title><addtitle>Neurology</addtitle><description>Focal areas of restricted diffusion adjacent to high-grade glioma resection cavities were detected in 70% of patients on immediate postoperative MRI studies. Follow-up studies demonstrated cystic encephalomalacia in 91% of these foci, suggesting the presence of infarction, and the infarcted tissue demonstrated enhancement in 43% of cases. New postoperative deficits correlated well with the anatomic region of infarction in six patients. Enhancement in perioperative infarcts can mimic tumor progression on follow-up imaging studies.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brain - blood supply</subject><subject>Brain - pathology</subject><subject>Brain - physiopathology</subject><subject>Brain Infarction - etiology</subject><subject>Brain Infarction - pathology</subject><subject>Brain Infarction - physiopathology</subject><subject>Brain Neoplasms - blood supply</subject><subject>Brain Neoplasms - physiopathology</subject><subject>Brain Neoplasms - surgery</subject><subject>Cerebral Arteries - injuries</subject><subject>Cerebral Arteries - pathology</subject><subject>Cerebral Arteries - physiopathology</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Confusion - etiology</subject><subject>Confusion - pathology</subject><subject>Confusion - physiopathology</subject><subject>Diffusion Magnetic Resonance Imaging - standards</subject><subject>Female</subject><subject>Glioblastoma - blood supply</subject><subject>Glioblastoma - physiopathology</subject><subject>Glioblastoma - surgery</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microcirculation - injuries</subject><subject>Microcirculation - pathology</subject><subject>Microcirculation - physiopathology</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Paresis - etiology</subject><subject>Paresis - pathology</subject><subject>Paresis - physiopathology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - pathology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Predictive Value of Tests</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0028-3878</issn><issn>1526-632X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U2LFDEQBuAgiju7-hekEfTWbb4_vMmwusKCFwVvMZ2ujJF0Z0y6Wfz3Zp2BOZpLIPVUCupF6DXBA6GEvsNkeFjSgNuhnGrDB0oUFgPzT9COCCp7yej3p2jX6rpnWukrdF3rL4xbUZnn6IoogonBdId-7FNconepc8vUFTfFfCju-DP6LoBbtwK1y6E7QonrNufSYFyCK36NeelCTik_xOXQNQent6YPKeYxubrm2b1Az4JLFV6e7xv07ePt1_1df__l0-f9h_vec87X3kzSUSJwIIxPFJQkQmIhgMkgiXLGjAoE5Y4riTU4bihgNo5aMPCCgmE36O3p32PJvzeoq51j9ZCSWyBv1UpNuGRY_BcSIxRV-hG-P0Ffcq0Fgj2WOLvyxxJsH4OwmNgWhL0EYf8FYZlvza_OU7ZxhunSet58A2_OwNW2_lDc4mO9OE01N5yyv3h7kys</recordid><startdate>20061114</startdate><enddate>20061114</enddate><creator>ULMER, S</creator><creator>BRAGA, T. A</creator><creator>BARKER, F. G</creator><creator>LEV, M. H</creator><creator>GONZALEZ, R. 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W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-9d6a2150f134d2e76156055e36f617a99b7e524a47608ea492e03bb853ec52e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Brain - blood supply</topic><topic>Brain - pathology</topic><topic>Brain - physiopathology</topic><topic>Brain Infarction - etiology</topic><topic>Brain Infarction - pathology</topic><topic>Brain Infarction - physiopathology</topic><topic>Brain Neoplasms - blood supply</topic><topic>Brain Neoplasms - physiopathology</topic><topic>Brain Neoplasms - surgery</topic><topic>Cerebral Arteries - injuries</topic><topic>Cerebral Arteries - pathology</topic><topic>Cerebral Arteries - physiopathology</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Confusion - etiology</topic><topic>Confusion - pathology</topic><topic>Confusion - physiopathology</topic><topic>Diffusion Magnetic Resonance Imaging - standards</topic><topic>Female</topic><topic>Glioblastoma - blood supply</topic><topic>Glioblastoma - physiopathology</topic><topic>Glioblastoma - surgery</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microcirculation - injuries</topic><topic>Microcirculation - pathology</topic><topic>Microcirculation - physiopathology</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Paresis - etiology</topic><topic>Paresis - pathology</topic><topic>Paresis - physiopathology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - pathology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Predictive Value of Tests</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ULMER, S</creatorcontrib><creatorcontrib>BRAGA, T. A</creatorcontrib><creatorcontrib>BARKER, F. 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| source | MEDLINE; Journals@Ovid Ovid Autoload; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Brain - blood supply Brain - pathology Brain - physiopathology Brain Infarction - etiology Brain Infarction - pathology Brain Infarction - physiopathology Brain Neoplasms - blood supply Brain Neoplasms - physiopathology Brain Neoplasms - surgery Cerebral Arteries - injuries Cerebral Arteries - pathology Cerebral Arteries - physiopathology Cerebrovascular Circulation - physiology Confusion - etiology Confusion - pathology Confusion - physiopathology Diffusion Magnetic Resonance Imaging - standards Female Glioblastoma - blood supply Glioblastoma - physiopathology Glioblastoma - surgery Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Microcirculation - injuries Microcirculation - pathology Microcirculation - physiopathology Middle Aged Neurology Neurosurgical Procedures - adverse effects Paresis - etiology Paresis - pathology Paresis - physiopathology Postoperative Complications - etiology Postoperative Complications - pathology Postoperative Complications - physiopathology Predictive Value of Tests Traumas. Diseases due to physical agents Vascular diseases and vascular malformations of the nervous system |
| title | Clinical and radiographic features of peritumoral infarction following resection of glioblastoma |
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