Resolution of Refractory Status Epilepticus With Ketamine Without Intubation in a Patient With Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome

被引：0

作者：

Kaneko, Kyle N. ^{[1
]}

Read, Pablo ^{[2
]}

Eaton, John M. ^{[1
]}

Umemura, Yoshie ^{[1
]}

Hoskin, Justin L. ^{[1
]}

机构：

[1] Barrow Neurol Inst, Dept Neurol, Phoenix, AZ 85013 USA

[2] Creighton Univ, Sch Med, Dept Neurol, Phoenix, AZ USA

来源：

CASE REPORTS IN NEUROLOGICAL MEDICINE | 2025年 / 2025卷 / 01期

关键词：

ketamine; oligodendroglioma; SMART syndrome; status epilepticus;

D O I：

10.1155/crnm/3203322

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Stroke-like migraine attacks after radiation therapy (SMART) syndrome is an infrequently reported complication arising years after radiation therapy that manifests as a reversible syndrome marked by migraine-like headaches, focal neurologic signs, and/or seizures. Refractory status epilepticus (RSE) associated with SMART syndrome is rare and can be challenging to treat. Valproic acid has been reported to improve seizures in RSE in SMART syndrome in a few case reports and may be ideal for SMART syndrome, given its use in the treatment of migraines and seizures. Ketamine has been used in RSE and a few instances in SMART syndrome. Here, we present a case of refractory focal status epilepticus in a patient with SMART syndrome who was treated with ketamine, which resolved seizures without the need for intubation.

引用

页数：9

共 20 条

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