A child with transient neurologic deficits and headache associated with cerebrospinal fluid pleocytosis.
We report a case of a 10-year-old girl who had several episodes of severe headache, altered consciousness, and temporary neurologic signs and symptoms within a 2-month period. Cerebrospinal fluid examination showed lymphocytic pleocytosis and increased protein. Extensive microbiologic investigation and neuroimaging studies were negative. Cerebrospinal fluid findings were normalized within a 3-month period, and the patient has not had further episodes through 15 months of follow-up. This combination of symptoms represents a benign, monophasic illness without further progression. The etiology, however, remains unclear.
Safier
Robert
R
Division of Child Neurology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.
Alper
Gulay
G
D002648:Child; D003244:Consciousness Disorders / Q000209:etiology*; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D007964:Leukocytosis / Q000134:cerebrospinal fluid* / Q000150:complications* / Q000175:diagnosis