Confusion as a presentation symptom of pseudomigraine with pleocytosis in a paediatric patient

Soto-Insuga, Víctor; López-Villanueva, L.; Rodrigo, María Aparicio; Aroyo, I. Mois; Losada, Rosa Cardero; Soriano‐Guillén, Leandro

doi:10.1016/j.anpede.2013.10.004

Cited by 9 publications

(16 citation statements)

References 16 publications

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“…Papilloedema is occasionally present 7 9. Atypical presentations such as transient global amnesia,4 and confusion with decreased level of consciousness in paediatric cases8 10 and adult cases11 have been reported, which may blur diagnostic clarity.…”

Section: Discussionmentioning

confidence: 99%

HaNDL syndrome in a 14-year-old girl

2016

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Transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) consists of recurrent headaches with focal neurological signs, which can include motor, sensory and aphasic symptoms. Although considered rare, it is becoming increasingly recognised in clinical practice due to the accumulation of case reports. The pathophysiology remains unclear although changes in the neurovascular resemble those found in migraine, which are thought to be triggered by an infectious process. HaNDL can mimic various serious, including life-threatening, diseases, such as stroke and meningoencephalitis, which is why vigorous tests should be sought before this diagnosis of exclusion can be reached. Treatment is symptomatic and the prognosis is excellent. A literature review of the topic is discussed. We report an adolescent girl who presented with recurrent expressive dysphasia and right-sided hypoaesthesia and moderate occipital headaches who was diagnosed with HaNDL syndrome.

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Section: Discussionmentioning

confidence: 99%

HaNDL syndrome in a 14-year-old girl

2016

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“…Headache and neurological deficits with CSF lymphocytosis is most commonly diagnosed in the third or fourth decades of life and is rare in the paediatric population . Only 16 paediatric cases have previously been published . A combative or altered conscious state is a rare neurological feature of HaNDL, and only nine cases have been reported, of which one was a paediatric patient …”

Section: Discussionmentioning

confidence: 99%

Altered conscious state as a presentation of the syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) in a paediatric patient

Armiento

Kornberg

2016

J Paediatrics Child Health

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“…Generalized slowing on the EEG during acute stage has been reported. 11,12 In H.'s case; the CSF did not show any dramatic changes on samplings during the initial presentation, and on recovery.…”

Section: Discussionmentioning

confidence: 99%

“…The strong family history of migraine was confounding, yet the history of migraine-type headaches in our patient, which is also an uncommon occurrence, 6,12 for over a year prior to her hospitalization, prompted us to administer migraine prophylaxis. Our review of prior literature revealed the use of Propranolol, 11 Valproic acid, 13 Acetazolamide and systemic Steroids 14 in treatment.…”

Section: Discussionmentioning

confidence: 99%