Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem
| العنوان: | Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem |
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| المؤلفون: | Toshio Moritani, Denise Leung, Aristides A. Capizzano, Yoshiaki Ota |
| المصدر: | Neuroradiology. 63:1377-1381 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, In vivo magnetic resonance spectroscopy, medicine.medical_specialty, Migraine Disorders, Fluid-attenuated inversion recovery, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, Cerebellar Neoplasms, Neuroradiology, Medulloblastoma, PET-CT, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, Petechial rash, medicine.disease, Magnetic Resonance Imaging, Stroke, Positron emission tomography, Neurology (clinical), Radiology, Neoplasm Recurrence, Local, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery, Brain Stem |
| الوصف: | The authors present an atypical case of presumed stroke-like migraine attacks after radiation therapy (SMART) syndrome in the brainstem. A 29-year-old male, who had been treated with resection and subsequent craniospinal radiation for posterior fossa medulloblastoma 21 years before, presented with subacute progressive left hemiparesis evolving over 4 days. Hematological findings, cerebrospinal fluid (CSF), and electroencephalogram (EEG) were unremarkable. Magnetic resonance imaging (MRI) showed a round area of hyperintense FLAIR signal centered within the pons associated with central restricted diffusion, peripheral enhancement, and small paramagnetic low susceptibility signal foci consistent with petechial hemorrhage. Positron emission tomography (PET), perfusion MRI, and MR spectroscopy revealed no evidence of tumor recurrence. The diagnosis of SMART syndrome is presumed from the conventional and advanced imaging findings, clinical history, and clinical course. |
| تدمد: | 1432-1920 0028-3940 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a6bdcf700e1f5826a06e42d3d634a81 https://doi.org/10.1007/s00234-021-02684-0 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....2a6bdcf700e1f5826a06e42d3d634a81 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14321920 00283940 |
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