The patient was originally treated for a who 1 meningioma in (b)(6) 2018.A recurrence occured in (b)(6) 2019 when the patient was treated with repeat resection and full fractionated external beam radiation therapy.Additional recurrences occurred in (b)(6) 2019 and (b)(6) 2020.The treating physician did not feel repeat external beam radiation therapy was safe so resection with gammatile was performed.Radiation necrosis was identified and the patient required medical treatment to preclude permanent impairment.Due to the previous radiation treatment and this being re-radiation, it is not known whether gammatile caused or contributed to the radiation necrosis that was experienced.
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