Stroke-Like Migraine Attacks after Radiation Therapy (SMART) Syndrome Is Not Always Completely Reversible: A Case Series

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Stroke-like migraine attacks after radiation therapy (SMART) syndrome is not always completely reversible: a case series.

We retrospectively reviewed clinical and imaging findings in 11 patients with stroke-like migraine attacks after radiation therapy (SMART) syndrome to better understand this disorder previously thought to be reversible. Six men and 5 women had complex bouts of neurologic impairment beginning, on average, 20 years after cerebral irradiation. All had characteristic, unilateral gyriform enhancemen...

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CLINICAL REPORT BRAIN Stroke-LikeMigraine Attacks after Radiation Therapy (SMART) Syndrome Is Not Always Completely Reversible: A Case Series

SUMMARY: We retrospectively reviewed clinical and imaging findings in 11 patients with stroke-like migraine attacks after radiation therapy (SMART) syndrome to better understand this disorder previously thought to be reversible. Six men and 5 women had complex bouts of neurologic impairment beginning, on average, 20 years after cerebral irradiation. All had characteristic, unilateral gyriform e...

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Stroke-like migraine attacks after radiation therapy syndrome: a case report and literature review

Stroke-like migraine attacks after radiation therapy syndrome is a late complication of cranial radiation. It typically presents as reversible, unilateral cortical signs and symptoms such as confusion, hemiparesis, seizures, and headaches. Magnetic resonance imaging is also required for diagnosis, demonstrating cortical linear gadolinium enhancement. Typically, these magnetic resonance imaging ...

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A diagnosis of stroke-like migraine attacks after radiation therapy (SMART) as severe headache with stroke-like presentation

A 52-year-old woman presented to the emergency department with gradual onset headache and expressive dysphasia. She had a left-sided facial droop and an unsteady gait on examination. An immediate non-contrast brain computed tomography (CT) was performed demonstrating evidence of prior right-sided neurosurgical intervention but no acute abnormality to account for her clinical findings (Figure 1)...

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ژورنال

عنوان ژورنال: American Journal of Neuroradiology

سال: 2013

ISSN: 0195-6108,1936-959X

DOI: 10.3174/ajnr.a3602