AI Summary & Key Takeaways
AI InsightIn this article, we present a 26-year-old male patient who was diagnosed with HaNDL syndrome with headache, transient neurological deficit and lymphocytosis in the CSF, and completely recovered during clinical follow-up.
📌 3 Key Takeaways
Abstract
HaNDL HaNDL syndrome is a rare syndrome that can mimic stroke and migraine with aura, in which migraine-like moderate or very severe headache episodes are seen together with transient neurological deficit, lymphocytosis in the cerebrospinal fluid (CSF). The diagnosis is made by the presence of migraine-like headache episodes lasting at least 4 hours, as well as weakness, sensory findings, and/or aphasia, and lymphocyte pleocytosis (>15 white blood cells/μl) in the CSF, and spontaneous resolution of complaints in 3 months. In this article, we present a 26-year-old male patient who was diagnosed with HaNDL syndrome with headache, transient neurological deficit and lymphocytosis in the CSF, and completely recovered during clinical follow-up.
Özet
HaNDL sendromu, migren benzeri orta şiddette veya çok şiddetli baş ağrısı epizodları ile beraber geçici nörolojik defisitin görüldüğü, beyin omurilik sıvısında (BOS) lenfositoz saptanan inme ve auralı migreni taklit edebilen, nadir bir sendromdur. Tanısı, en az 4 saat süren migren benzeri baş ağrısı epizodları ile beraber güçsüzlük, duyusal bulgular ve/veya afazinin olması ve BOS’ta lenfosit pleositozunun (>15 beyazküre/μl) tespit edilmesi ve şikayetlerin 3 ayda kendiliğinden düzelmesi ile konulur. Bu yazıda, baş ağrısı ile beraber geçici nörolojik defisiti ve BOS’ta lenfositozu olan HaNDL sendromu tanısı konulan, kliniği takibinde tamamen düzelen 26 yaşında erkek hasta sunulmaktadır