Goldfinch Andrew Ian, Kleinig Timothy John
Department of Radiology, Lyell McEwin Hospital, Haydown Rd & Oldham Rd, Elizabeth Vale, SA 5112, Australia.
Department of Neurology, Lyell McEwin Hospital, Haydown Rd & Oldham Rd, Elizabeth Vale, SA 5112, Australia.
Radiol Case Rep. 2017 Jun 17;12(3):610-614. doi: 10.1016/j.radcr.2017.05.007. eCollection 2017 Sep.
Stroke-like migraine attacks after radiation therapy syndrome is a late complication of cranial radiation. It typically presents as reversible, unilateral cortical signs and symptoms such as confusion, hemiparesis, seizures, and headaches. Magnetic resonance imaging is also required for diagnosis, demonstrating cortical linear gadolinium enhancement. Typically, these magnetic resonance imaging findings resolve as patients experience partial or complete improvement in their symptoms and signs after a few weeks. Although a very rare condition, it is becoming increasingly observed as survival rates from brain tumors improve. In this report, we describe a typical case of stroke-like migraine attacks after radiation therapy syndrome and present a review of the literature.
放射治疗综合征后的类卒中偏头痛发作是颅脑放疗的一种晚期并发症。它通常表现为可逆的单侧皮质体征和症状，如意识模糊、偏瘫、癫痫发作和头痛。诊断还需要磁共振成像，表现为皮质线性钆增强。通常，随着患者在几周后症状和体征部分或完全改善，这些磁共振成像表现也会消失。尽管这是一种非常罕见的情况，但随着脑肿瘤生存率的提高，其发病率越来越高。在本报告中，我们描述了一例典型的放射治疗综合征后的类卒中偏头痛发作病例，并对文献进行了综述。
