短暂性头痛和神经功能缺损伴脑脊液淋巴细胞增多综合征1例
Chinese Journal of Pain Medicine(2021)
Abstract
短暂性头痛和神经功能缺损伴脑脊液淋巴细胞增多综合征 (syndrome of transient headache and neu-rological deficits with cerebrospinal fluid lymphocyto-sis, HaNDL) 以短暂的神经功能缺损和偏头痛样头痛发作为主要临床表现,伴脑脊液淋巴细胞增多,一般3个月内自发缓解,是一种自限性疾病 [1].HaN-DL综合征临床罕见,且容易与缺血性卒中、先兆偏头痛、可逆性脑血管收缩综合征等混淆.我科近期收治1例伴有听神经瘤的HaNDL病人,其临床表现主要为偏侧可逆的麻木无力伴偏头痛样头痛发作,酷似散发的偏瘫型偏头痛,如未进行腰穿检查,则可能漏诊误诊.为此,将此病例整理报告,并讨论HaNDL综合征临床特点、发病机制、治疗及预后等,以提高对本病的认识.
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