Mateo I, Pinedo A, Gómez-Beldarrain M, García-Moncó J C
Servicio de Neurología, Hospital de Galdácano, Vizcaya.
Neurologia. 2004 Dec;19(10):763-5.
Pseudomigraine with pleocytosis (now referred to as syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis, IHS ICHD-II code 7.8) is only infrequently accompanied by a confusional state and no cases have been described so far in association with severe agitation. We report on a patient who suffered from two episodes of headache with transient focal neurological deficits that were consistent with pseudomigraine with pleocytosis but that were followed by an intense confusional, agitated state that required admission in the intensive care unit. This possibility should be included in the differential diagnosis of confusional, agitated states.
伴有脑脊液细胞增多的偏头痛样头痛（现称为伴有脑脊液淋巴细胞增多的短暂性头痛和神经功能缺损综合征，国际头痛协会（IHS）国际头痛疾病分类第二版（ICHD-II）编码7.8）仅偶尔伴有意识模糊状态，且迄今为止尚无与严重激越相关的病例报道。我们报告了一名患者，其经历了两次伴有短暂局灶性神经功能缺损的头痛发作，符合伴有脑脊液细胞增多的偏头痛样头痛，但随后出现了强烈的意识模糊、激越状态，需要入住重症监护病房。在意识模糊、激越状态的鉴别诊断中应考虑到这种可能性。
