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An Intelligent Diagnosis: SMART Syndrome

Published:January 11, 2021DOI:https://doi.org/10.1016/j.amjmed.2020.11.034
      A 92-year-old woman presented to the Emergency Department with a 10-day history of right-sided headache, confusion, and episodic head turning to the left side that was associated with spontaneous laughter and apparent visual hallucinations. Her family also noted her to be inattentive to her left side. She had been seen in the Emergency Department 3 days prior for the same symptoms, but discharged home after a computed tomography (CT) scan of the head without contrast did not demonstrate any acute abnormalities. Post discharge, her symptoms worsened, which led to her return to the Emergency Department.
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