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照射疗法 (SMART) 综合征后类似中风的偏头痛发作:一个病例报告

Ashraf V Valappil¹, Danish Ahammed Pk¹, Sellam Karunanidhi²

¹Neurology, Aster Malabar Institute of Medical Sciences Ltd (MIMS) Hospital Calicut, Kozhikode, IND.

|August 1, 2024

概括

放射治疗 (SMART) 综合征后类似中风的偏头痛发作是一种罕见的延迟并发症. 早期识别和使用类固醇和抗发作药物的治疗可以导致完全康复,避免侵入性测试.

科学领域:

神经学神经学
放射学放射学是一门学科.
在瘤学瘤学.

背景情况:

放射治疗后类似中风的偏头痛发作 (SMART) 综合征是皮辐射的罕见延迟并发症.
它涉及大脑血管自我调节受损,并呈现出明显的临床放射性发现.

研究的目的:

报告一个被诊断为SMART综合征的病例,该病例是在部辐射后28年被诊断出来的.
强调认识到这种综合症对于适当的患者管理的重要性.

主要方法:

一个38岁的男子的病例报告,有头辐射病史.
临床表现包括头痛,视觉光环,眼盲,失语,行为障碍和发作.
诊断工作包括MRI和fludeoxyglucose-FDG PET扫描.

主要成果:

核磁共振扫描显示了带有限制的扩散和轻微的对比度增强的旋转胀.
FDG-PET扫描显示受影响的大脑区域的高输液.
患者经历了脉类固醇和抗发作药物的完全改善.

结论:

SMART综合征是一种罕见但可治疗的脑辐射延迟并发症.
及时诊断和治疗可以导致完全康复.
识别SMART综合征可以防止不必要的和侵入性的诊断程序.

关键词:

延迟辐射诱导的神经毒性美国食品和药品管理局 (FDA) 进行物扫描.磁共振成像 (MRI) 是一种磁共振成像技术.发作发作这些在放射治疗后发生类似中风的偏头痛发作 (智能)

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