Taguchi Meari, Bonner Kyle, Memon Anza B
Neurology, Henry Ford Health System, Detroit, USA.
Neurology, Wayne State University School of Medicine, Detroit, USA.
Cureus. 2022 Feb 5;14(2):e21930. doi: 10.7759/cureus.21930. eCollection 2022 Feb.
Stroke-like migraine attacks after radiation therapy (SMART) are uncommon, often occurring years or decades after brain radiation therapy. This syndrome is a diagnosis of exclusion, and only about 40 cases describing SMART have been published, each one describing a constellation of symptoms and findings. Because symptoms can arise years after initial radiation therapy, the ability of physicians to recognize SMART and rule out other possible causes of symptoms is critical for the long-term care of oncology patients who have undergone cranial radiation. Here we present the case of a 55-year-old man who experienced SMART nine years after radiation therapy and who was successfully treated with steroids.
放疗后类中风性偏头痛发作（SMART）并不常见，通常发生在脑部放疗数年或数十年后。该综合征是一种排除性诊断，目前仅发表了约40例描述SMART的病例，每例都描述了一系列症状和发现。由于症状可能在初始放疗数年之后出现，医生识别SMART并排除其他可能的症状原因的能力对于接受过颅脑放疗的肿瘤患者的长期护理至关重要。在此，我们报告一例55岁男性患者，其在放疗九年后出现SMART，并通过类固醇治疗成功治愈。
