Files and links (1)
Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Unusual case of recurrent SMART (stroke-like migraine attacks after radiation therapy) syndrome
Annals of the Indian Academy of Neurology, v 19(3), pp 399-401
01 Jul 2016
PMID: 27570398
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a rare delayed complication of cerebral radiation therapy. A 53-year-old female initially presented with headache, confusion and left homonymous hemianopia. Her medical history was notable for cerebellar hemangioblastoma, which was treated with radiation in 1987. Her initial brain MRI (magnetic resonance imaging) revealed cortical enhancement in the right temporo-parieto-occipital region. She improved spontaneously in 2 weeks and follow-up scan at 4 weeks revealed no residual enhancement or encephalomalacia. She presented 6 weeks later with aphasia. Her MRI brain revealed similar contrast-enhancing cortical lesion but on the left side. Repeat CSF studies was again negative other than elevated protein. She was treated conservatively and recovered completely within a week. Before diagnosing SMART syndrome, it is important to rule out tumor recurrence, encephalitis, posterior reversible encephalopathy syndrome (PRES) and stroke. Typically the condition is self-limiting, and gradually resolves.
Metrics
Details
- Title
- Unusual case of recurrent SMART (stroke-like migraine attacks after radiation therapy) syndrome
- Creators
- Ramnath Santosh Ramanathan - Allegheny Health NetworkGayathri Sreedher - Akron Children's HospitalKonark Malhotra - Allegheny Health NetworkZain Guduru - Allegheny Health NetworkDeeksha Agarwal - Allegheny Health NetworkMary Flaherty - Allegheny Health NetworkTimothy Leichliter - Allegheny Health NetworkSandeep Rana - Allegheny Health Network
- Publication Details
- Annals of the Indian Academy of Neurology, v 19(3), pp 399-401
- Publisher
- Medknow Publications & Media Pvt Ltd
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000382404500022
- Scopus ID
- 2-s2.0-84980390570
- Other Identifier
- 991021959040704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology