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SMART Syndrome (Stroke-like migraine attacks after radiation therapy): When to suspect it?
CONCLUSION: The triad of migraine, seizure, and hemiparesis within the context of a prior brain radiotherapy should promptly raise the suspicion of SMART syndrome. Prompt diagnosis is essential to avoid unnecessary invasive investigations.PMID:34877047 | PMC:PMC8645481 | DOI:10.25259/SNI_893_2021
Source: Surgical Neurology International - December 8, 2021 Category: Neurosurgery Authors: Petros Angelidis Christian Saleh Phillip Jaszczuk Muhannad Seyam Katarina Alexandra Ebner Margret Hund-Georgiadis Source Type: research

267 When investigating stroke is a waste of time
Young stroke should alert clinicians to investigate for unusual causes. A previously well 43-year-old Caucasian female presented with 2 days of punctuated left sided weakness and sensory inattention. MRI demonstrated multiple territory infarcts, predominantly on the right side. With no vascular risk factors, high dose steroids were commenced assuming primary angiitis of the CNS (PACNS). Blood tests including ESR, HIV, an autoimmune and thrombotic screen and blood cultures were negative. A 24-hour ECG and TOE failed to identify an embolic source, though interval MRIs plus CT angi- ography revealed evolving cerebral and sple...
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 27, 2022 Category: Neurosurgery Authors: Cook, S., Warner, G. Tags: Poster Presentations Source Type: research

Right Hemispheric Acute Ischemic Stroke Secondary To Right Common Carotid Artery Free Floating Thrombus Due To Hypercoagulable State In An Otherwise Healthy 48-Year-Old Woman. (P6.263)
Conclusions: Due to the high association between malignancy and hypercoagulable state, further work up needs to be warranted in the evaluation of a patient with FFT. To our knowledge this is the first case report of symptomatic FFT treated with an oral direct factor-Xa inhibitor. Further randomized clinical trials are required to assess the best therapeutic approach of this condition.Disclosure: Dr. Orjuela has nothing to disclose. Dr. Gill has nothing to disclose. Dr. Vlahovic has nothing to disclose. Dr. Morales-Vidal has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Orjuela, K., Gill, R., Vlahovic, L., Morales-Vidal, S. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Extraction of tumor embolus following perioperative stroke
We would like to highlight the case of a 69-year old man who was found to have a rare cause of perioperative stroke. The patient was diagnosed with primary adenocarcinoma of the lung, with no evidence of metastases on staging PET CT. His only past medical history was of hypertension. He underwent resection of the left upper lobe tumour. During the six-hour operation, hypotension or hypoxia were not encountered but supraventricular tachycardia was noted both intra- and post-operatively. In the recovery ward, he was noted to have new left-sided limb weakness.
Source: Journal of the Neurological Sciences - March 27, 2015 Category: Neurology Authors: Stella E. Hughes, Stephen J. Hunt Tags: Letter to the Editor Source Type: research

Extraction of tumour embolus following perioperative stroke
We would like to highlight the case of a 69-year old man who was found to have a rare cause of perioperative stroke. The patient was diagnosed with primary adenocarcinoma of the lung, with no evidence of metastases on staging PET CT. His only past medical history was of hypertension. He underwent resection of the left upper lobe tumour. During the six-hour operation, hypotension or hypoxia was not encountered but supraventricular tachycardia was noted both intra- and post-operatively. In the recovery ward, he was noted to have new left-sided limb weakness.
Source: Journal of the Neurological Sciences - March 27, 2015 Category: Neurology Authors: Stella E. Hughes, Annemarie Hunter, Jamie Campbell, Aidan Brady, Brian Herron, Graham Smyth, Ian Rennie, Stephen J. Hunt Tags: Letter to the editor Source Type: research

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