Two cases of delayed cerebral radionecrosis with cystic presentation a
re reported. The patients had received radiation therapy for a cutaneo
us tumor 16 and 12 years before. Surgical extirpation of the cerebral
lesion permitted to confirm the diagnosis and to treat the patients wi
th success. A cystic aspect has been reported rarely in the neuroradio
logic descriptions of the cerebral radionecrosis in the literature. It
s mechanism is discussed. The treatment of the delayed cerebral radion
ecrosis is not clearly established, but a cystic presentation is an ar
gument for surgery.