Hutton Joseph, Wellington Daniel, Miller Steven
Department of General Medicine, North Shore Hospital, Auckland.
Diabetes Centre, North Shore Hospital, Auckland.
N Z Med J. 2017 Jan 27;130(1449):67-69.
We report the case of a 54-year-old woman with multiple presentations to the emergency department with severe headache, transient variable neurological deficits and normal investigations aside from CSF lymphocytosis. This represents a rare but under-diagnosed condition, transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) syndrome. HaNDL is an important differential diagnosis for headache. We summarise the current knowledge about its clinical course, diagnosis and typical investigation findings.
我们报告了一名54岁女性的病例，她多次因严重头痛、短暂性可变神经功能缺损到急诊科就诊，除脑脊液淋巴细胞增多外，各项检查均正常。这代表了一种罕见但诊断不足的疾病，即伴有脑脊液淋巴细胞增多的短暂性头痛和神经功能缺损（HaNDL）综合征。HaNDL是头痛的重要鉴别诊断。我们总结了目前关于其临床病程、诊断和典型检查结果的知识。
