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Table 3 Clinical histories of all three patients with Fazekas scores of 6

From: Patients with pretreatment leukoencephalopathy and older patients have more cognitive decline after whole brain radiotherapy

Patient number

Age

WMH volume (cm3)

∆ MoCA score: baseline versus worst follow-up score

Outcome

1

72

41.2

8-Point decrease at 6 months

Somnolence for several months after WBRT with short-term memory and concentration impairment requiring full-time nursing support. An MRI 6 months after treatment showed control of brain metastases and worsening leukoencephalopathy. Lived for 18 months after WBRT

2

83

43.6

Did not complete a follow-up MoCA test

Admitted to nursing home with confusion 2 months after WBRT. Did not attend any follow-up clinical trial appointments. An MRI 1 year after treatment showed control of brain metastases and new leukoencephalopathy. Lived for 28 months after WBRT in a nursing home

3

71

66.3

Did not complete a follow-up MoCA test

Three-month MRI showed control of brain metastases, but she did not attend the 3-month clinical trial appointment because she was sleeping 23 h per day, compatible with somnolence syndrome. Lived for 6 months after WBRT in a hospice

  1. WMH white matter hyperintensity, WBRT whole brain radiotherapy, RT radiotherapy, MoCA Montreal Cognitive Assessment