4.3 Review

Treatment of Radiation-Induced Brain Necrosis

Journal

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY
Volume 2021, Issue -, Pages -

Publisher

HINDAWI LTD
DOI: 10.1155/2021/4793517

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Funding

  1. Shanghai Jiao Tong University Affiliated Sixth People's Hospital [ynqn202118]
  2. Shanghai Municipal Health Commission [20184Y0229]

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Radiation-induced brain necrosis is a serious complication of radiotherapy for intracranial tumors, previously considered irreversible. Advances in understanding the pathogenesis and treatment options, such as the use of drugs like bevacizumab, have shown promising results in some cases of brain necrosis.
Radiation-induced brain necrosis (RBN) is a serious complication of intracranial as well as skull base tumors after radiotherapy. In the past, due to the lack of effective treatment, radiation brain necrosis was considered to be progressive and irreversible. With better understanding in histopathology and neuroimaging, the occurrence and development of RBN have been gradually clarified, and new treatment methods are constantly emerging. In recent years, some scholars have tried to treat RBN with bevacizumab, nerve growth factor, and gangliosides and have achieved similar results. Some cases of brain necrosis can be repairable and reversible. We aimed to summarize the incidence, pathogenesis, and treatment of RBN.

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