A case report on Syndrome of transient Headache and Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL)

Authors

  • Reaz Mahmud Assistant Professor, Department of Neurology, Dhaka medical College, Dhaka
  • Mohammad Aftab Rassel MD thesis student, Department of Neurology, Dhaka medical College, Dhaka
  • Farhana Binte Monayem Medical officer, Sarkari karmachari Hospital, Dhaka
  • Ahmed Hossain Chowdhury Associate Professor, Dept. of Neurology, Dhaka Medical College Hospital, Dhaka
  • KM Nazmul Islam Assistant professor, Department of Neurology, Shaheed Suhrawardy Medical College, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v29i1.51177

Keywords:

HaNDL, Pleocytosis, Migraine

Abstract

HaNDL syndrome (transient headache and neurological deficits with cerebrospinal fluid lymphocytosis) is a rare headache disorder previously known as Migraine with cerebrospinal fluid pleocytosis. The disease is characterized by one or more episodes of headache and transient neurological deficits associated with cerebrospinal fluid lymphocytosis. It is a benign disorder and a stroke mimicker. We describe a case of 50 years old lady presented with acute onset headache, right hemi sensory tingling and bilateral papilloedema. Her blood test, MRI of brain and MRV was normal. CSF study revealed lymphocytic pleocytosis. The patient was discharged with full recovery. HaNDL syndrome is a diagnosis of exclusion. High degree of suspicion and characteristic clinical and laboratory findings are important to recognize.

J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 89-91

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Published

2021-01-05

How to Cite

Mahmud, R., Rassel, M. A., Monayem, F. B., Chowdhury, A. H., & Islam, K. N. (2021). A case report on Syndrome of transient Headache and Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL). Journal of Dhaka Medical College, 29(1), 89–91. https://doi.org/10.3329/jdmc.v29i1.51177

Issue

Section

Case Reports