SMART syndrome

Case contributed by Dr Daryl Bergen

Presentation

History of empiric radiation in 1981, now has had 5-6 migraines a month for last year.

Patient Data

Gender: Female
MRI

MRI Brain

Case Discussion

Left temporal-occipital region gyral enhancement. In this clinical setting, the appearance suggests SMART syndrome (stroke-like migraine attacks after radiation therapy), an uncommon complication of cerebral irradiation. 

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