Boyer Pierre-Nicolas, Devlin Michael, Boggild Mike
Townsville Hospital and Health Service, Douglas, Queensland, Australia.
Neurology Department, Townsville Hospital and Health Service, Douglas, Queensland, Australia.
Oxf Med Case Reports. 2018 Oct 5;2018(10):omy077. doi: 10.1093/omcr/omy077. eCollection 2018 Oct.
A 30-year-old man presented with new onset severe headache and homonymous hemianopia, with a subsequent seizure, on a background of a right parietal astrocytoma resected at age 5 with adjuvant chemotherapy and radiotherapy. Magnetic resonance imaging of the brain revealed post-surgical and radiotherapy changes only and a clinical diagnosis of Stroke-like Migraine Attacks after Radiation Therapy (SMART) syndrome was made. Vision subsequently recovered gradually over a 6-week period, however, during the recovery phase he reported well formed hallucinations in the affected hemi-field consisting of small mammals, particularly possums, which gradually became less distinct as vision recovered; a phenomenon which was felt likely to represent the Charles Bonnet syndrome.
一名30岁男性，有右侧顶叶星形细胞瘤病史，5岁时行手术切除并接受辅助化疗和放疗，此次因新发严重头痛和同向性偏盲就诊，随后出现癫痫发作。脑部磁共振成像仅显示术后及放疗后的改变，临床诊断为放疗后类卒中偏头痛发作（SMART）综合征。视力随后在6周内逐渐恢复，然而，在恢复阶段，他报告在患侧视野出现清晰的幻觉，幻觉中有小型哺乳动物，特别是负鼠，随着视力恢复，幻觉逐渐变得不那么清晰；这种现象可能代表了查尔斯·邦尼特综合征。
