Radiation Vasculopathy

Diagnosis:

MRI:

  • Infarcts
  • Enhancing mass lesion
  • Cavernous marlformations

Angiogram/Catheter angiography:

  • Stenosis in MCA, ICA
  • Can also cause accelerated atherosclerosis in the extracranial internal carotid artery

Treatment:

Depends on presentation:

  • Enhancing mass, typically treated with steroids
  • Infarcts are treated with antiplatelets, but data is limited
  • Extracranial accelerated atherosclerosis is treat with antiplatelets, risk factor control and carotid artery stenting if severe stenosis