Neurology Department, Hospital Central Dr Ignacio Morones Prieto, San Luis Potosi, Mexico.
Neurology Department of the Facultad de Medicina, Universidad Autonoma de San Luis Potosi, San Luis Potosi, Mexico.
BMJ Case Rep. 2022 Oct 3;15(10):e252055. doi: 10.1136/bcr-2022-252055.
We present a woman in her 40s who arrived at the emergency room with hypertension and optic ataxia. Her medical history is only relevant for obesity. Her lumbar puncture revealed high intracranial pressure and lymphocytic pleocytosis, and her neuroimaging tests, including angiography and venography, were normal. The patient improved after a cerebrospinal fluid drainage with a lumbar puncture, and her clinical manifestations resolved in parallel to the lymphocytic pleocytosis.The patient was diagnosed with a syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis and fully recovered 21 days after her discharge.
我们报告了一位 40 多岁的女性，因高血压和视性共济失调就诊于急诊。她的病史仅与肥胖有关。她的腰椎穿刺显示颅内压升高和淋巴细胞增多，神经影像学检查，包括血管造影和静脉造影，均正常。患者经腰椎穿刺脑脊液引流后病情改善，其临床表现与淋巴细胞增多平行缓解。该患者被诊断为短暂性头痛和神经功能缺损伴脑脊液淋巴细胞增多综合征，出院后 21 天完全康复。
