Refractory @entity159 due to XXXX .

@entity1 @entity227 @entity64 @entity1183 @entity132 @entity410 @entity425 @entity772 @entity2704 @entity2026 @entity1805 @entity10 @entity2287 @entity159
INTRODUCTION: @entity64 -like @entity2704 attacks after radiation therapy (SMART) is a late-onset complication of brain irradiation of unknown physiopathology. Our aim was to present three @entity1 with @entity64 who had clinical and neuroimage studies suggestive of @entity159 . @entity1 : @entity1 1. A 69-year-old @entity1 , who was treated with radiation therapy 14years before her first admission to the Neurology Department, presented with several episodes of @entity10 , @entity132 , and @entity425 of left limbs with altered awareness. @entity1 2. A 49-year-old @entity1 , who was treated with whole brain radiation 20years before the onset of symptoms, developed some episodes consisting of @entity10 and @entity1183 of the right side of face and right arm; the latest episodes were accompanied by @entity227 followed by generalized @entity410 . @entity1 3. A 40-year-old @entity1 , who received cranial irradiation 20years before, suffered three episodes of behavioral disturbance, @entity2026 , @entity10 , and @entity227 followed by @entity1805 . RESULTS: All three @entity1 @entity410 . Electroencephalography showed interictal epileptiform discharges or focal slowing. Brain magnetic resonance image (MRI), positron emission tomography (PET), or ictal-single-photon emission computed tomography (SPECT) showed focal cortical hyperperfusion. Focal diffusion restriction and focal @entity2287 -enhancement were observed on MRI. All @entity1 were treated with antiepileptic drugs, being effective in one of them. One @entity1 needed anesthesic @entity772 , and the other @entity1 responded to therapy with corticosteroids. CONCLUSIONS: Taking into account clinical evolution and ictal neuroimaging studies, @entity159 could explain the origin of these episodes in @entity64 . Although most @entity1 have reversible symptoms, in some cases, aggressive treatment to avoid sequelae is needed. This article is part of a Special Issue entitled " @entity159 ".
