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Unusual late-onset complications of brain irradiation, characterized by reversible neurologic focal signs, seizures, and MRI alterations, have recently been reported and classified as stroke-like migraine attacks after radiation therapy (SMART)(1) and peri-ictal pseudoprogression (PIPG).(2.)

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...

Abstract Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a rare neurological phenomenon characterized by reversible symptoms of headache, seizure, hemiparesis, and visual changes associated with remote history cranial irradiation. We describe case medulloblastoma survivor, presenting postoperative deficits, along neuroimaging findings subsequent resolution symptoms, hig...

Background: Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a possible long term consequence of cranial beam and may present as perfect mimic with or without aura. Methods Results: We 57-year-old man suffering from diffuse astrocytoma presenting SMART perfectly mimicking his antecedent visual He was treated intravenous steroid inducing rapid response. Conclusion: rare c...