A Case of Stroke-like Migraine Attacks after Radiation Therapy (SMART) Syndrome Followed by Cerebral Infarction

Hisashi Takahashi; Tadashi Kimura; Natsuko Yuki; Akira Yoshioka

doi:10.2169/internalmedicine.9579-17

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A Case of Stroke-like Migraine Attacks after Radiation Therapy (SMART) Syndrome Followed by Cerebral Infarction

Hisashi Takahashi, Tadashi Kimura, Natsuko Yuki, Akira Yoshioka

著者情報

キーワード: stroke-like migraine attacks after radiation therapy syndrome, irradiation, late-onset complication, acute lymphoblastic leukemia, cerebral infarction

ジャーナルオープンアクセス早期公開

論文ID: 9579-17

DOI https://doi.org/10.2169/internalmedicine.9579-17

この記事には本公開記事があります。

The final version of this article is now available: Vol. 57 (2018), No. 13 pp. 1921-1924

詳細

抄録

A 36-year-old man with a history of irradiation for acute lymphoblastic leukemia developed headache with cortical dysfunction lasting for 4 weeks. The clinical features were consistent with stroke-like migraine attacks after radiation therapy (SMART) syndrome. Six months later, he developed cerebral infarction due to occlusions of the left anterior and middle cerebral arteries. This is the first case report describing SMART syndrome followed by severe cerebral infarction. Although an association between the two episodes was not assumed, this case indicates that protective therapies against infarction might need to be considered for patients with SMART syndrome.

責任著者(Corresponding author)

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