What is the appropriate workup and treatment for patients with SMART syndrome following radiation for brain tumors?

Topics: Radiation Oncology • Neuro-Oncology • Medical Oncology • Neurology

For stroke-like migraine attacks after radiation therapy (SMART syndrome), does your management of these patient's change with recurrent episodes? How frequently is that seen?

Answer from: at Academic Institution

Stroke-like migraine attacks after radiation therapy (SMART) is a late presentation after treatment for a CNS malignancy (or brain radiation for another cause; e.g., prophylactic cranial radiation). It is one of many late effects of radiation therapy. Others may include vasculopathy, cognitive dysfu...

Comments

Radiation Oncologist at Finger Lakes Radiation Oncology Center
Could hyperbaric oxygen be of value?

at Wake Forest School of Medicine
Great question. There are quite a few case studies...

Radiation Oncologist at Cleveland Clinic
I second Dr. @Roy Strowd's recommendation for Tren...

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