SMART syndrome: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
SMART syndrome: management. These are focal or regional. Fully referenced neurology checklist.
Magnetic resonance imaging (MRI) brain: cortical thickening
- These are focal or regional
- They appear as <5 mm hypodensities on susceptibility weighted imaging (SWI)
- They are usually in the temporal, parietal, or occipital lobes
- They spare the white matter
- They demonstrate linear gadolinium enhancement
Magnetic resonance imaging (MRI) brain: other features
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Electroencephalogram (EEG): features
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Transcranial Doppler ultrasound
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Magnetic resonance spectroscopy (MRS): features
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CT perfusion
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Acute treatment
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Prophylactic treatments
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Acronym
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References
- Jaraba S, Puig O, Miró J, et al. Refractory status epilepticus due to SMART syndrome. Epilepsy Behav 2015; 49:189-192.
- Goldfinch AI, Kleinig TJ. Stroke-like migraine attacks after radiation therapy syndrome: a case report and literature review. Radiol Case Rep 2017; 12:610-614.
- Olsen AL, Miller JJ, Bhattacharyya S, Voinescu PE, Klein JP. Cerebral perfusion in stroke-like migraine attacks after radiation therapy syndrome. Neurology 2016; 86:787-789.
- Khanipour Roshan S, Salmela MB, McKinney AM. Susceptibility-weighted imaging in stroke-like migraine attacks after radiation therapy syndrome. Neuroradiology 2015; 57:1103-1109.
- Serlin Y, Alshahrani M, Frauscher B. Provocative hyperventilation in a patient with stroke-like migraine attacks after radiation therapy. JAMA Neurol 2022; 79:526-527.
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