title: Getting a handle on complicated migraine.
abstract: We describe a case of a 45-year-old man who presented with a transient syndrome consisting of headache with neurological deficits. Neuroimaging including brain angiography was normal. Cerebrospinal fluid (CSF) analysis revealed an elevated protein and lymphocytic pleocytosis. The diagnosis of a syndrome of Headache and Neurological Deficits with CSF Lymphocytosis (HaNDL) was made after excluding all the other possible causes for the patient's presentation. He made an excellent recovery following a short course of naproxen sodium.
authors.affiliation: Department of Neurology, HSE West, Galway, Ireland.
authors.forename: Tarig Mohammed
authors.initials: TM
authors.lastname: Abkur
authors.affiliation: Department of Neurology, HSE West, Galway, Ireland.
authors.forename: Enda
authors.initials: E
authors.lastname: McGowan
authors.affiliation: Department of Neurology, HSE West, Galway, Ireland.
authors.forename: Hugh
authors.initials: H
authors.lastname: Kearney
authors.affiliation: Department of Neurology, National University of Ireland, Galway, Galway, Ireland.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Counihan
mesh_terms: D000792:Angiography; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001921:Brain / Q000378:metabolism / Q000473:pathology; D002556:Cerebrospinal Fluid Proteins / Q000378:metabolism; D003937:Diagnosis, Differential; D006261:Headache / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007964:Leukocytosis; D008214:Lymphocytes / Q000378:metabolism*; D008218:Lymphocytosis / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008297:Male; D008875:Middle Aged; D020325:Migraine with Aura / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D009288:Naproxen / Q000627:therapeutic use; D009422:Nervous System Diseases / Q000134:cerebrospinal fluid / Q000150:complications / Q000175:diagnosis*; D059906:Neuroimaging; D013577:Syndrome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D002556:Cerebrospinal Fluid Proteins; D009288:Naproxen