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放射治疗综合征后类似中风的偏头痛发作:病例报告及文献复习

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

作者信息

Singh Achint K, Tantiwongkosi Bundhit, Moise Anna-Marieta, Altmeyer Wilson B

机构信息

1 Department of Radiology, University of Texas Health Science Center, San Antonio, USA.

2 Department of Neurology, Emory University School of Medicine, USA.

出版信息

Neuroradiol J. 2017 Dec;30(6):568-573. doi: 10.1177/1971400917690009. Epub 2017 Jun 23.

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岁女性出现视力丧失并伴有偏头痛样头痛。进行了脑部对比增强磁共振成像,结果提示为放射治疗后类卒中偏头痛发作(SMART)综合征。SMART综合征是脑部放疗的一种迟发性并发症,其特征为包括偏头痛样头痛、癫痫发作和半球功能障碍在内的神经症状。本文旨在让读者了解这种脑部照射的罕见并发症。对SMART综合征进行恰当诊断对于避免侵入性检查至关重要。

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本文引用的文献

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Current Understanding on Pain Mechanism in Migraine and Cluster Headache.偏头痛和丛集性头痛疼痛机制的当前认识
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Stroke-like Migraine Attacks after Radiation Therapy Syndrome.放射治疗综合征后的类中风性偏头痛发作
Chin Med J (Engl). 2015 Aug 5;128(15):2097-101. doi: 10.4103/0366-6999.161393.
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Perfusion imaging insights into SMART syndrome: a case report.灌注成像对SMART综合征的见解:一例报告。
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