Pariso Gabriela S, Parisi Virginia L, Persi Gabriel G, Canto Lucila, Rugilo Carlos A, Gatto Emilia M
Departamento de Neurología, Sanatorio de la Trinidad-Mitre, Buenos Aires.
Medicina (B Aires). 2006;66(4):335-7.
The syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis or pseudomigraine with temporary neurological symptoms and lymphocytic pleocytosis (HaNDL) is a syndrome consisting of recurrent headaches, reversible neurological deficit, lymphocytic pleocytosis in cerebrospinal fluid (CSF), variable duration over time and spontaneous resolution. Although several etiopathogenic mechanisms have been suggested (vascular, infectous, immunological and calcium channelopthy), its etiology remains unknown. We describe a 28 year old female, with recurrent migraine with pleocytosis, confusional syndrome and transient neurological deficit. The clinical remission was achieved within two months. Although its etiology remains unknown the differential diagnosis is discussed in order to keep in mind this syndrome.
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或伴有短暂性神经症状和淋巴细胞性多细胞增多症的类偏头痛(HaNDL)是一种由复发性头痛、可逆性神经功能缺损、脑脊液(CSF)淋巴细胞性多细胞增多症、随时间变化的持续时间和自发缓解组成的综合征。尽管已经提出了几种病因机制(血管性、感染性、免疫性和钙通道病),但其病因仍然未知。我们描述了一名28岁女性,患有复发性偏头痛伴多细胞增多症、意识模糊综合征和短暂性神经功能缺损。在两个月内实现了临床缓解。尽管其病因仍然未知,但仍讨论了鉴别诊断以便牢记该综合征。