Stroke-like migraine attacks after radiation therapy syndrome: Case report and review of the literature.

放射治疗综合征后中风样偏头痛发作 ： 病例报告和文献复习。

• 发表时间: Dec 2017
• 来源期刊: Neuroradiol J
• DOI: 10.1177/1971400917690009
• PMID: 28643603
• 文章类型: Case Reports
• 作者列表: Singh AK,Tantiwongkosi B,Moise AM,Altmeyer WB

关键词: Delayed complication; SMART syndrome; brain radiation; gyriform enhancement; stroke-like migraine attacks after radiation therapy

Mesh: Adult; Brain Neoplasms / radiotherapy; Female; Humans; Levetiracetam; Magnetic Resonance Imaging / methods; Migraine Disorders / diagnostic imaging drug therapy etiology; Nootropic Agents / therapeutic use; Piracetam / analogs & derivatives therapeutic use; Radiation Injuries / complications diagnostic imaging; Syndrome

Abstract

A 26-year-old female presented with vision loss accompanied by migraine-like headaches. A contrast-enhanced magnetic resonance imaging of the brain was performed which revealed findings suggestive of stroke-like migraine attacks after radiation therapy (SMART) syndrome. SMART syndrome is a delayed complication of brain radiation characterized by neurologic symptoms including migraine-like headaches, seizures, and hemispheric impairment. The purpose of this article is to make the readers aware of this rare complication of brain irradiation. Appropriate diagnosis of SMART syndrome is essential to avoid invasive tests.

摘要

一名26岁的女性出现视力丧失并伴有偏头痛样头痛。对大脑进行了对比增强的磁共振成像，揭示了放射疗法（SMART）综合征后中风样偏头痛发作的发现。SMART综合征是脑辐射的延迟并发症，其特征是神经系统症状，包括偏头痛样头痛，癫痫发作,和半球损伤。本文的目的是使读者意识到这种罕见的脑照射并发症。SMART综合征的适当诊断对于避免侵入性检查至关重要。