%0 Case Reports
%T Metamorphopsia with SMART Syndrome: A Case Report.
%A Flain L
%A Lay A
%A Gadil E
%A James K
%A Thanancheyan S
%A Bacchi S
%A Goh R
%J Case Rep Neurol
%V 16
%N 1
%D 2024 Jan-Dec
%M 39145136
暂无%R 10.1159/000540417
%X <B>UNASSIGNED: </B>SMART syndrome is a rare complication of brain radiotherapy. This is the first described presentation of SMART syndrome with metamorphopsia, which responded to aspirin, verapamil, and high-dose L-arginine therapy.<BR><B>UNASSIGNED: </B>A 43-year-old man presented with 3 weeks of migraine headaches with metamorphopsia and complex visual hallucinations affecting the left lower quadrant of both visual fields. This occurred on a background of high-dose radiotherapy for right cerebellar astrocytoma 32 years ago. MRI brain demonstrated unilateral gyriform enhancement and FLAIR hyperintense cortical swelling in the right occipital lobe consistent with SMART syndrome.<BR><B>UNASSIGNED: </B>Unusual presentations of SMART syndrome exist and require consideration in all patients with focal neurological deficit post-brain radiotherapy. Validated diagnostic and treatment modalities for SMART syndrome are urgently required.