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伴有短暂性神经功能缺损和脑脊液淋巴细胞增多的头痛综合征

Syndrome of Headache Accompanied with Transient Neurologic Deficits and Cerebrospinal Fluid Lymphocytosis.

作者信息

Çoban Arzu, Shugaiv Erkingül, Tüzün Erdem

机构信息

İstanbul University Istanbul Medical Faculty, Department of Neurology, İstanbul, Turkey.

İstanbul University Experimental Research Institute (DETAE), Department of Neuroscience, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2013 Aug;50(Suppl 1):S52-S55. doi: 10.4274/npa.y7228. Epub 2013 Aug 1.

DOI:10.4274/npa.y7228
PMID:28360585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5353079/
Abstract

The syndrome of headache accompanied with transient neurologic deficits and cerebrospinal fluid lymphocytosis (HaNDL), is a rare, benign and self limiting syndrome. In the 2nd Edition of the International Classification of Headache Disorders, HaNDL syndrome was defined in secondary headache group as "Headache attributed to non-vascular intracranial disorder". The etiology of HaNDL is still unknown. In recent years, some authors have shown that ion channel autoimmunity might at least partially contribute to HaNDL pathogenesis. In this paper, the definition of HaNDL syndrome, clinical picture and epidemiology of HaNDL syndrome, etiopathogenesis, differential diagnosis and treatment will be reviewed with the recent literature.

摘要

伴有短暂性神经功能缺损和脑脊液淋巴细胞增多的头痛综合征(HaNDL)是一种罕见的、良性的、自限性综合征。在《国际头痛疾病分类》第2版中,HaNDL综合征在继发性头痛组中被定义为“归因于非血管性颅内疾病的头痛”。HaNDL的病因仍不清楚。近年来,一些作者表明离子通道自身免疫可能至少部分促成了HaNDL的发病机制。本文将结合近期文献对HaNDL综合征的定义、临床表现、流行病学、病因发病机制、鉴别诊断及治疗进行综述。

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本文引用的文献

1
CACNA1H antibodies associated with headache with neurological deficits and cerebrospinal fluid lymphocytosis (HaNDL).与伴有神经功能缺损和脑脊液淋巴细胞增多的头痛(HaNDL)相关的 CACNA1H 抗体。
Cephalalgia. 2013 Jan;33(2):123-9. doi: 10.1177/0333102412463494. Epub 2012 Oct 30.
2
Case of syndrome of headache with neurological deficits and cerebrospinal fluid lymphocytosis (HaNDL) with focal slowing on electroencephalogram.头痛伴神经功能缺损和脑脊液淋巴细胞增多(HaNDL)并伴有脑电图局灶性慢波的病例。
Intern Med J. 2012 Aug;42(8):944-7. doi: 10.1111/j.1445-5994.2012.02856.x.
3
Reversible cerebral vasoconstriction syndrome: an important cause of acute severe headache.可逆性脑血管收缩综合征:急性重度头痛的一个重要病因。
Emerg Med Int. 2012;2012:303152. doi: 10.1155/2012/303152. Epub 2012 Jul 9.
4
Diffusion restriction in the splenium of the corpus callosum in a patient with the syndrome of transient headache with neurological deficits and CSF lymphocytosis (HaNDL): a challenge to the diagnostic criteria?胼胝体压部弥散受限一例:短暂性头痛伴神经功能缺损和脑脊液淋巴细胞增多综合征(HaNDL):对诊断标准的挑战?
Acta Neurol Belg. 2012 Mar;112(1):67-9. doi: 10.1007/s13760-012-0018-0. Epub 2012 Feb 3.
5
Acute confusion in headache with neurologic deficits and cerebrospinal fluid lymphocytosis syndrome.头痛伴神经功能缺损和脑脊液淋巴细胞增多综合征的急性意识混乱。
Am J Emerg Med. 2012 Nov;30(9):2078.e7-8. doi: 10.1016/j.ajem.2011.10.011. Epub 2011 Dec 6.
6
Autoantibodies associated with diseases of the CNS: new developments and future challenges.与中枢神经系统疾病相关的自身抗体:新进展和未来挑战。
Lancet Neurol. 2011 Aug;10(8):759-72. doi: 10.1016/S1474-4422(11)70096-5.
7
Confusional state in the syndrome of HaNDL.HANDL 综合征中的意识模糊状态。
Headache. 2011 Sep;51(8):1285-8. doi: 10.1111/j.1526-4610.2011.01884.x. Epub 2011 Mar 31.
8
Usefulness of multimodal MR imaging in the differential diagnosis of HaNDL and acute ischemic stroke.多模态磁共振成像在 HaNDL 与急性缺血性卒中鉴别诊断中的应用价值。
BMC Neurol. 2010 Dec 2;10:120. doi: 10.1186/1471-2377-10-120.
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Acute perfusion MR imaging in a HaNDL-like syndrome.类偏头痛性眩晕样综合征的急性灌注磁共振成像
Cerebrovasc Dis. 2010;29(1):98-100. doi: 10.1159/000259619. Epub 2009 Nov 19.
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Abnormal MRI in a patient with 'headache with neurological deficits and CSF lymphocytosis (HaNDL)'.MRI 异常的患者,伴有“头痛伴神经功能缺损和 CSF 淋巴细胞增多症(HaNDL)”。
Cephalalgia. 2010 May;30(5):615-9. doi: 10.1111/j.1468-2982.2009.01950.x. Epub 2010 Feb 22.