Abstract
AbstractStroke-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 a remote history of cranial irradiation. We describe a case of a medulloblastoma survivor, presenting with postoperative neurological deficits, along with neuroimaging findings and subsequent resolution of symptoms, highly suggestive of SMART syndrome. We have also reviewed the common epidemiological and diagnostic factors associated with this rare disease, as well as discussed pathophysiological mechanisms.
Highlights
Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a rare neurological complication that may appear months to years after radiotherapy with characteristic clinical signs such as hemiparesis, seizures, headache, nausea, vomiting, and visual disturbances
We describe a case of a medulloblastoma survivor, presenting with postoperative neurological deficits, along with neuroimaging findings and subsequent resolution of symptoms, highly suggestive of SMART syndrome
We describe a case of a 26-year-old medulloblastoma survivor, presenting with postoperative neurological deficits, along with neuroimaging findings and subsequent resolution of symptoms, highly suggestive of SMART syndrome
Summary
Cristian Cirjan[1] Ali Jamal[2] Philippe Mercier[3] Rachel Berkovich[4] Pournima Navalkele[5].
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