Tada Yukiko, Negoro Kiyoshi, Abe Masaaki, Ogasawara Jun-ichi, Kawai Motoharu, Morimatsu Mitsunori
Department of Neurology and Clinical Neuroscience, Yamaguchi University, Ube, Yamaguchi.
Intern Med. 2005 Jul;44(7):743-6. doi: 10.2169/internalmedicine.44.743.
Pseudomigraine with pleocytosis (PMP) is an uncommon disease in Japan. The diagnostic criteria include at least one episode of transient neurological deficit accompanied or followed by migraine-like severe headache, cerebrospinal fluid (CSF) lymphocytosis, and normal neuroimaging. Both the etiology and the pathophysiology of PMP is not yet well defined. We report a 40-year-old man with a PMP-like syndrome. He came to our clinic because of severe throbbing headache and amnesia, and the examination showed CSF lymphocytosis of 23/mm3, a transient decrease of cerebral blood flow in the left thalamus. All the symptoms were completely resolved within 2 months.
伴有脑脊液淋巴细胞增多的偏头痛样头痛（PMP）在日本是一种罕见疾病。诊断标准包括至少一次短暂性神经功能缺损发作，随后伴有偏头痛样严重头痛、脑脊液（CSF）淋巴细胞增多，且神经影像学检查正常。PMP的病因和病理生理学尚未明确。我们报告一名患有PMP样综合征的40岁男性。他因严重搏动性头痛和失忆前来我们诊所就诊，检查显示脑脊液淋巴细胞增多为23/mm³，左侧丘脑脑血流短暂减少。所有症状在2个月内完全缓解。
