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Source: American Journal of Neuroradiology
Therapy: Radiation Therapy

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Total 4 results found since Jan 2013.

Comprehensive Update and Review of Clinical and Imaging Features of SMART Syndrome ADULT BRAIN
SUMMARY: Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a delayed complication of cranial irradiation, with subacute onset of stroke-like symptoms including seizures, visual disturbance, speech impairment, unilateral hemianopsia, facial droop, and aphasia, often associated with migraine-type headache. The diagnostic criteria were initially proposed in 2006. However, the diagnosis of SMART syndrome is challenging because clinical symptoms and imaging features of SMART syndrome are indeterminate and overlap with tumor recurrence and other neurologic diseases, which may result in inappropriate clinic...
Source: American Journal of Neuroradiology - June 8, 2023 Category: Radiology Authors: Ota, Y., Liao, E., Shah, G., Srinivasan, A., Capizzano, A. A. Tags: ADULT BRAIN Source Type: research

Prognostic Factors of Stroke-Like Migraine Attacks after Radiation Therapy (SMART) Syndrome ADULT BRAIN
CONCLUSIONS: Age, use of steroid treatment at the diagnosis of SMART syndrome, and MR imaging findings of abnormal susceptibility signal, restricted diffusion, and subcortical WM change in the acute SMART region can be prognostic factors in SMART syndrome.
Source: American Journal of Neuroradiology - March 10, 2022 Category: Radiology Authors: Ota, Y., Leung, D., Lin, E., Liao, E., Kurokawa, R., Kurokawa, M., Baba, A., Yokota, H., Bathla, G., Moritani, T., Srinivasan, A., Capizzano, A. A. Tags: ADULT BRAIN Source Type: research

Potentially Reversible and Recognizable Acute Encephalopathic Syndromes: Disease Categorization and MRI Appearances ADULT BRAIN
SUMMARY: "Encephalopathy" is a vague term that encompasses varying definitions, often with a nonspecific clinical presentation and numerous possible pathophysiologic causes. Hence, MR imaging plays a crucial role in the early diagnosis and treatment by identifying imaging patterns when there is limited clinical history in such patients with acute encephalopathy. The aim of this review was to aid in remembrance of etiologies of potentially reversible acute encephalopathic syndromes on MR imaging. The differential includes vascular (reversible cerebral vasoconstriction syndrome, transient global amnesia, disseminated intrava...
Source: American Journal of Neuroradiology - August 11, 2020 Category: Radiology Authors: Koksel, Y., McKinney, A. M. Tags: ADULT BRAIN Source Type: research

Stroke-Like Migraine Attacks after Radiation Therapy (SMART) Syndrome Is Not Always Completely Reversible: A Case Series FELLOWS' JOURNAL CLUB
SUMMARY: We retrospectively reviewed clinical and imaging findings in 11 patients with stroke-like migraine attacks after radiation therapy (SMART) syndrome to better understand this disorder previously thought to be reversible. Six men and 5 women had complex bouts of neurologic impairment beginning, on average, 20 years after cerebral irradiation. All had characteristic, unilateral gyriform enhancement on MR imaging that developed within 2–7 days and typically resolved in 2–5 weeks. Unlike prior reports, 45% had incomplete neurologic recovery manifesting as dysphasia, cognitive impairment, or hemiparesis. The...
Source: American Journal of Neuroradiology - December 13, 2013 Category: Radiology Authors: Black, D. F., Morris, J. M., Lindell, E. P., Krecke, K. N., Worrell, G. A., Bartleson, J. D., Lachance, D. H. Tags: FELLOWS ' JOURNAL CLUB Source Type: research