照射疗法 (SMART) 综合征后的中风类偏头痛发作:在头骨辐射十年后的诊断挑战
Akshayaa K Aggarawal1, Nang Soe Yamin Mon2, Mansoor Gazi2
1Internal Medicine, Walsall Manor Hospital, Birmingham, GBR.
Cureus
|January 7, 2026
概括
放射治疗后类似中风的偏头痛发作 (SMART) 综合征是部放射治疗的罕见并发症. 这个案例突出了一个病人.
科学领域:
- 神经学 神经学
- 放射治疗并发症 放射治疗并发症
背景情况:
- 放射治疗后类似中风的偏头痛发作 (SMART) 综合征是部放射治疗的罕见,晚期并发症.
- 辐射暴露多年后,它呈现出复发的神经症状,通常与可逆的MRI异常有关.
研究的目的:
- 在老年男性中呈现SMART综合征的病例.
- 讨论这种罕见疾病的诊断挑战和管理.
主要方法:
- 一个64岁的男性的病例报告,他先前接受了头骨辐射.
- 临床评估,神经成像 (MRI),脑脊液分析和脑电图 (EEG).
主要成果:
- 患者出现了异常的身体运动和焦点发作.
- 核磁共振显示出缺血变化,EEG证实了发作. 确立了对SMART综合征的诊断.
- 优化的抗疗法导致了逐渐改善和良好的神经恢复.
结论:
- 在骨放射治疗后多年,SMART综合征可能会发生.
- 包括EEG和MRI在内的多式诊断方法对于诊断至关重要.
- 迅速使用抗药物治疗可以带来有利的结果.
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