Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem
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 s...
Gespeichert in:
| Veröffentlicht in: | Neuroradiology 2021-08, Vol.63 (8), p.1377-1381 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1381 |
|---|---|
| container_issue | 8 |
| container_start_page | 1377 |
| container_title | Neuroradiology |
| container_volume | 63 |
| creator | Ota, Yoshiaki Leung, Denise Moritani, Toshio Capizzano, Aristides A. |
| description | 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. |
| doi_str_mv | 10.1007/s00234-021-02684-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2500376099</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2553619217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-2686f0d04b61a37579f71d1aabf276514adff9e31a9e8a39ebb5c776285332643</originalsourceid><addsrcrecordid>eNp9kU1PHDEMhqMKVBbaP9BDFYlLLwP5mEl2jghRQELqpT1HnhlnG3a-SDKH_fd4WUolDhwiR_ZjO3lfxr5JcSGFsJdJCKXLQihJx6zp9omtZKlVIWsljtiK6utC16U4YacpPQohtNX2MzvR2lBWmRXLV3k3hxZ6HgbYhHHDfRg7iolPns8R0zJgx1OO0xaLPmyRD2ETIYzIIWdot4mDzxh5hC5ADtPI81-MMO942o1dnAbk4SXHm31byjh8Ycce-oRfX-MZ-_Pz5vf1XfHw6_b--uqhaLWtckF_Ml50omyMBMrY2lvZSYDGK2sqWULnfY1aQo1r0DU2TdVaa9S60lqZUp-xH4e5c5yeFkzZDSG12Pcw4rQkp6q9IkbUNaHn79DHaYkjvY6oShtSVFqi1IFq45RSRO_mSLrFnZPC7T1xB08ceeJePHGCmr6_jl4a0vKt5Z8JBOgDkKg0bjD-3_3B2Gfj_Zfg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2553619217</pqid></control><display><type>article</type><title>Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem</title><source>SpringerLink Journals - AutoHoldings</source><creator>Ota, Yoshiaki ; Leung, Denise ; Moritani, Toshio ; Capizzano, Aristides A.</creator><creatorcontrib>Ota, Yoshiaki ; Leung, Denise ; Moritani, Toshio ; Capizzano, Aristides A.</creatorcontrib><description>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.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-021-02684-0</identifier><identifier>PMID: 33694026</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Brain stem ; Cerebrospinal fluid ; EEG ; Electroencephalography ; Headache ; Hemorrhage ; Imaging ; Magnetic resonance imaging ; Magnetic resonance spectroscopy ; Medical imaging ; Medicine ; Medicine & Public Health ; Medulloblastoma ; Migraine ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Paresis ; Perfusion ; Pons ; Positron emission ; Positron emission tomography ; Radiation ; Radiation therapy ; Radiology ; Short Report ; Stroke ; Tomography</subject><ispartof>Neuroradiology, 2021-08, Vol.63 (8), p.1377-1381</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-2686f0d04b61a37579f71d1aabf276514adff9e31a9e8a39ebb5c776285332643</citedby><cites>FETCH-LOGICAL-c375t-2686f0d04b61a37579f71d1aabf276514adff9e31a9e8a39ebb5c776285332643</cites><orcidid>0000-0001-8992-2156</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00234-021-02684-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00234-021-02684-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33694026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ota, Yoshiaki</creatorcontrib><creatorcontrib>Leung, Denise</creatorcontrib><creatorcontrib>Moritani, Toshio</creatorcontrib><creatorcontrib>Capizzano, Aristides A.</creatorcontrib><title>Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><addtitle>Neuroradiology</addtitle><description>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.</description><subject>Brain stem</subject><subject>Cerebrospinal fluid</subject><subject>EEG</subject><subject>Electroencephalography</subject><subject>Headache</subject><subject>Hemorrhage</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic resonance spectroscopy</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medulloblastoma</subject><subject>Migraine</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Paresis</subject><subject>Perfusion</subject><subject>Pons</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Radiology</subject><subject>Short Report</subject><subject>Stroke</subject><subject>Tomography</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1PHDEMhqMKVBbaP9BDFYlLLwP5mEl2jghRQELqpT1HnhlnG3a-SDKH_fd4WUolDhwiR_ZjO3lfxr5JcSGFsJdJCKXLQihJx6zp9omtZKlVIWsljtiK6utC16U4YacpPQohtNX2MzvR2lBWmRXLV3k3hxZ6HgbYhHHDfRg7iolPns8R0zJgx1OO0xaLPmyRD2ETIYzIIWdot4mDzxh5hC5ADtPI81-MMO942o1dnAbk4SXHm31byjh8Ycce-oRfX-MZ-_Pz5vf1XfHw6_b--uqhaLWtckF_Ml50omyMBMrY2lvZSYDGK2sqWULnfY1aQo1r0DU2TdVaa9S60lqZUp-xH4e5c5yeFkzZDSG12Pcw4rQkp6q9IkbUNaHn79DHaYkjvY6oShtSVFqi1IFq45RSRO_mSLrFnZPC7T1xB08ceeJePHGCmr6_jl4a0vKt5Z8JBOgDkKg0bjD-3_3B2Gfj_Zfg</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Ota, Yoshiaki</creator><creator>Leung, Denise</creator><creator>Moritani, Toshio</creator><creator>Capizzano, Aristides A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8992-2156</orcidid></search><sort><creationdate>20210801</creationdate><title>Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem</title><author>Ota, Yoshiaki ; Leung, Denise ; Moritani, Toshio ; Capizzano, Aristides A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-2686f0d04b61a37579f71d1aabf276514adff9e31a9e8a39ebb5c776285332643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Brain stem</topic><topic>Cerebrospinal fluid</topic><topic>EEG</topic><topic>Electroencephalography</topic><topic>Headache</topic><topic>Hemorrhage</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic resonance spectroscopy</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medulloblastoma</topic><topic>Migraine</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Paresis</topic><topic>Perfusion</topic><topic>Pons</topic><topic>Positron emission</topic><topic>Positron emission tomography</topic><topic>Radiation</topic><topic>Radiation therapy</topic><topic>Radiology</topic><topic>Short Report</topic><topic>Stroke</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ota, Yoshiaki</creatorcontrib><creatorcontrib>Leung, Denise</creatorcontrib><creatorcontrib>Moritani, Toshio</creatorcontrib><creatorcontrib>Capizzano, Aristides A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ota, Yoshiaki</au><au>Leung, Denise</au><au>Moritani, Toshio</au><au>Capizzano, Aristides A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem</atitle><jtitle>Neuroradiology</jtitle><stitle>Neuroradiology</stitle><addtitle>Neuroradiology</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>63</volume><issue>8</issue><spage>1377</spage><epage>1381</epage><pages>1377-1381</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33694026</pmid><doi>10.1007/s00234-021-02684-0</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8992-2156</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-3940 |
| ispartof | Neuroradiology, 2021-08, Vol.63 (8), p.1377-1381 |
| issn | 0028-3940 1432-1920 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2500376099 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Brain stem Cerebrospinal fluid EEG Electroencephalography Headache Hemorrhage Imaging Magnetic resonance imaging Magnetic resonance spectroscopy Medical imaging Medicine Medicine & Public Health Medulloblastoma Migraine Neurology Neuroradiology Neurosciences Neurosurgery Paresis Perfusion Pons Positron emission Positron emission tomography Radiation Radiation therapy Radiology Short Report Stroke Tomography |
| title | Atypical imaging findings of presumed stroke-like migraine attacks after radiation therapy syndrome in the brainstem |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T14%3A12%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Atypical%20imaging%20findings%20of%20presumed%20stroke-like%20migraine%20attacks%20after%20radiation%20therapy%20syndrome%20in%20the%20brainstem&rft.jtitle=Neuroradiology&rft.au=Ota,%20Yoshiaki&rft.date=2021-08-01&rft.volume=63&rft.issue=8&rft.spage=1377&rft.epage=1381&rft.pages=1377-1381&rft.issn=0028-3940&rft.eissn=1432-1920&rft_id=info:doi/10.1007/s00234-021-02684-0&rft_dat=%3Cproquest_cross%3E2553619217%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2553619217&rft_id=info:pmid/33694026&rfr_iscdi=true |