Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome Presenting With Recurrent Seizures: A Case Study.
Publication/Presentation Date
6-1-2022
Abstract
Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a rare, delayed complication of radiation therapy to the brain. We present a case of a 49-year-old female with a past medical history of malignant neoplasm of the brain status following resection and radiation. She initially presented with increased work of breathing. Initial labs and a chest X-ray were suggestive of aspiration pneumonia leading to sepsis. Upon hospitalization, seizure-like activity was noted. Electroencephalogram showed electrographic seizures originating from the left occipital and parietal lobe. She received numerous medications to control the seizures with minimal improvement. Magnetic resonance imaging was performed to characterize the origin of seizures, which showed extensive post-radiation changes including a new meningioma. The patient was subsequently managed with magnesium and Solu Medrol. After this regimen, her condition improved and there were no clinical seizures present.
Volume
14
Issue
6
First Page
25691
Last Page
25691
ISSN
2168-8184
Published In/Presented At
Panigrahy, N., Aedma, S., & Lee, M. (2022). Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome Presenting With Recurrent Seizures: A Case Study. Cureus, 14(6), e25691. https://doi.org/10.7759/cureus.25691
Disciplines
Medicine and Health Sciences
PubMedID
35812558
Department(s)
Fellows and Residents
Document Type
Article