SMART syndrome (stroke like migraine attacks after radiation) has been described as a late delayed side effect of cerebral irradiation and comprises prolonged, unilateral, neurological symptoms with transient, cortical gadolinium enhancement sometimes punctuated by seizures and ipsilateral EEG slowing [1]. Here we describe a patient with non-convulsive status epilepticus with prominent negative...

A 43-year-ol d female had a cerebellar pilocytic astrocytoma operated 27 years ago. Reoperation and radiation therapy were employed in a recurrence 13 years ago. One week before admission, progressive drowsiness, disorientation in time and space, slurred speech and worsening of a residual right hemiparesis begun. Cerebrospinal uid (CSF) analysis and electroencephalography (EEG) were unremarkabl...

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 ...