Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL)

Gyuzyal Tabeeva,Aleksey Sergeev,Eugene Klimov,Julia Azimova,Kirill Skorobogatych

doi:10.15406/jnsk.2018.08.00299

Abstract

Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL)

Highlights

The syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) is a rare benign form of secondary headache
Serological tests were performed for the Epstein–Barr virus, cytomegalovirus, herpes simplex virus type 2, Borrelia and Mycoplasma, tuberculosis - all results were negative
The recurrent episodes of acute headache with accompanying symptoms indicative of neurological deficits perfectly meet the criteria of the syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL).[8]

Summary

Introduction

The syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) is a rare benign form of secondary headache. Patient Е, 21 years old, with no history of neurological disease, suddenly experienced numbness in the left foot, which was successively followed by numbness in the left arm, left side of the face and tongue, and slurred speech; these symptoms resolved spontaneously. Nausea developed 15 minutes later, and after another 15 minutes the patient experienced an intense pulsating headache in the right temporal region scoring 8 on the Visual Analogue Scale (VAS) and accompanied by vomiting, photo-, phono-, and osmophobia.

Results

Conclusion