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June 9, 2026Neurology

Stroke–like Migraine Attacks After Radiation Therapy: A Case of SMART Syndrome Presenting as Nonconvulsive Status Epilepticus (P5-6.006)

Sanaz Arezoumandan Christopher Beskow Jesson James Vineet Nadkarni Jyotsna Kochiyil Ahmed Koriesh

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Key Points

This report aims to describe a case of SMART syndrome presenting with nonconvulsive status epilepticus.
Case report detailing the clinical presentation and management of the patient with SMART syndrome.
Assessment of neurological symptoms following radiation therapy.
The patient exhibited signs of nonconvulsive status epilepticus, characterized by prolonged seizure activity without convulsions.
Migraine-like symptoms persisted following radiation therapy, highlighting potential connections in SMART syndrome.

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Implication

Case report describes SMART syndrome presenting as nonconvulsive status epilepticus, suggesting important neurological connections.

Abstract

To describe a case of SMART syndrome presenting as non-convulsive status epilepticus.

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Cite This Study

Arezoumandan et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf32afaef96ed7f055ad1 https://doi.org/10.1212/wnl.0000000000217504

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Stroke-like migraine attacks after radiation therapy (SMART) syndrome: a study in diagnosis, treatment and outcomeOriginal Research · 2026
2Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome: A Case Report2024
3Case Series of SMART Syndrome: Expanding the Spectrum of Post-radiation Neurological Complications (P5-6.002)Case Report · 2026
4Unique Imaging Findings in Stroke-like Migraine Attacks After Radiation Therapy (SMART) Syndrome: A Case Report (P5-6.009)Case Report · 2026
5Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome: A Case Report With Vertigo, Dysmetria, And Impaired Tandem Gait2025

NCMP-37. Clinical patterns and long-term outcomes in stroke-like migraine attacks after radiation therapy (SMART): a case series2025
A Rare Case of Diffuse Leptomeningeal and Cortical Enhancement Secondary to Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome in a Patient With a History of Childhood Medulloblastoma2024
Neurological Puzzles After Radiotherapy: Mysterious Clues of Smart Syndrome, Two Case Reports2026
Differences in Epilepsy Etiology, Type, Syndrome, and Severity Between Māori and Non-Māori-Non-Pasifika Children With Epilepsy in New ZealandNeurology · 2026
Teaching NeuroImage: Opioid-Associated Amnestic SyndromeNeurology · 2026

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