Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80756, Taiwan.
Am J Emerg Med. 2012 Nov;30(9):2078.e7-8. doi: 10.1016/j.ajem.2011.10.011. Epub 2011 Dec 6.
Abrupt headaches with focal neurologic deficits usually indicate medical emergencies that require advanced investigations and prompt treatment. The distinct syndrome of “headache with neurologic deficits and cerebrospinal fluid lymphocytosis” (HaNDL) is infrequent and considered a benign, self-limited disorder. We illustrated a 29-year-old man with HaNDL atypically presenting as episodic altered consciousness rather than sensorimotor prodromes. The diagnosis was made carefully by exclusion of other likely entities. It is important for clinical physicians to differentiate HaNDL from other potentially fatal.
突发头痛伴有局灶性神经功能缺损通常提示需要进行高级检查和及时治疗的医学急症。“伴有神经功能缺损和脑脊液淋巴细胞增多的头痛”（HaNDL）这一独特综合征较为罕见，被认为是一种良性、自限性疾病。我们介绍了一例 HaNDL 不典型表现为发作性意识改变而非感觉运动先兆的 29 岁男性患者。通过排除其他可能的疾病，仔细做出了诊断。临床医生将 HaNDL 与其他可能致命的疾病区分开来非常重要。
