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[A HaNDL case with papilledema mimicking transient ischemic attack].

İpek Güngör1, Arman Çakar, Elif Kocasoy Orhan

  • 1Department of Neurology, Istanbul Faculty of Medicine, Istanbul, Turkey. dripekgngr@gmail.com.

Agri : Agri (Algoloji) Dernegi'Nin Yayin Organidir = the Journal of the Turkish Society of Algology
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Summary

Transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL) is a rare, benign syndrome. Early CSF examination is key for diagnosing HaNDL, which can mimic serious conditions.

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Area of Science:

  • Neurology
  • Neuroimmunology

Background:

  • Transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL) is a rare, benign, self-limiting neurological syndrome.
  • Its pathogenesis is not fully understood, but autoimmunity is suspected.
  • HaNDL presents with diverse neurological symptoms that can mimic more severe conditions.

Observation:

  • A case of HaNDL is presented, initially mimicking a transient ischemic attack (TIA).
  • The patient experienced temporary, recurrent neurological deficits.
  • Cerebrospinal fluid (CSF) analysis revealed lymphocytosis, and papilledema was present with normal CSF pressure.

Findings:

  • CSF examination is diagnostically valuable for HaNDL.
  • The syndrome's symptomatology can be mistaken for other serious neurological diseases.
  • Autoimmunity is a leading hypothesis for HaNDL's cause.

Implications:

  • Recognizing HaNDL is crucial to avoid misdiagnosis and unnecessary aggressive treatments.
  • Further research into HaNDL's ethiopathogenesis may reveal targeted treatments.
  • Understanding HaNDL improves patient outcomes by enabling prompt and accurate diagnosis.