PMC8645481_01
Brain MRI at presentation and after 10 days of SMART syndrome. Gyral enhancement of the left parietooccipital region with mild swelling on axial postcontrast FLAIR MRI (a) and on postcontrast T1-weighted imaging (b). Complete resolution of findings 10 days later on postcontrast FLAIR (c) and postcontrast T1-weighted imaging (d).
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F1
Based on her clinical presentation (migraine, seizure, and hemiparesis), as well as on the morphology and location of the MRI alterations [thick gyriform enhancement, Figure 1a and b], the diagnosis of SMART was made. A control MRI showed regressing signal alterations in the affected areas [Figure 1c and d].