EURORAD ESR

Case 14978

SMART syndrome (stroke-like migraine attacks after radiation-therapy)

Author(s)
Laura Koren, Amaya Hilario, Patricia Martin, Elena Salvador, Ana Ramos

Hospital Universitario 12 de Octubre, Hospital Universitario 12 de Octubre, Radiology; avenida Cordoba s/n Madrid, Spain; Email:laura.koren.f@gmail.com
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Axial FLAIR-WI
     

    Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory and sequelae of frontal bilateral external...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 2
    Axial T2-WI

    Axial T2-weighted image shows thickening and increased signal of the affected cortex (star) in comparison with the normal one (arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 3
    DWI and ADC map

    Diffusion weighted image shows hyperintensity in left parieto-occipital brain region without convincing evidence of restricted diffusion in ADC map.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 4
    Axial T1-WI post-gadolinium

    T1-weighted image of the brain following intravenous administration of gadolinium. Gyriform enhancement of left posterior parieto-occipital cortex matching the T2 signal abnormality.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory and sequelae of frontal bilateral external ventricular shunt are also present.
 
Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.
 
Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.
 
Axial T2-FLAIR MRI images demonstrating increased signal intensity in the left parieto-occipital cortex. Ancient ischemic stroke in the right middle cerebral artery territory is also present.
 
Axial T2-weighted image shows thickening and increased signal of the affected cortex (star) in comparison with the normal one (arrow).
 
Diffusion weighted image shows hyperintensity in left parieto-occipital brain region without convincing evidence of restricted diffusion in ADC map.
 
T1-weighted image of the brain following intravenous administration of gadolinium. Gyriform enhancement of left posterior parieto-occipital cortex matching the T2 signal abnormality.
 
 
 
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