Confusional State in HaNDL Syndrome: Case Report and Literature Review

The syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) is a self-limited condition. Confusional states are uncommonly reported as a clinical manifestation of this syndrome. Here, I report a 76-year-old female who presented with headache, co...

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Main Author: Sarah Nelson
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/317685
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author Sarah Nelson
author_facet Sarah Nelson
author_sort Sarah Nelson
collection DOAJ
description The syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) is a self-limited condition. Confusional states are uncommonly reported as a clinical manifestation of this syndrome. Here, I report a 76-year-old female who presented with headache, confusion, and agitation with a mild CSF lymphocytosis. Other workup to determine the cause of her altered mental status was otherwise negative. The literature available in the English language on HaNDL syndrome is reviewed, including its history, pathophysiology, possible associations with migraine and stroke, and previously reported cases of confusional states in this syndrome. While HaNDL syndrome has been a described entity since the 1980s, its pathophysiology has yet to be clearly defined.
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spelling doaj-art-1aea6162626e4182a327df052ac99fab2025-02-03T05:46:28ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/317685317685Confusional State in HaNDL Syndrome: Case Report and Literature ReviewSarah Nelson0Tufts Medical Center, 800 Washington Street No. 314, Boston, MA 02111, USAThe syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) is a self-limited condition. Confusional states are uncommonly reported as a clinical manifestation of this syndrome. Here, I report a 76-year-old female who presented with headache, confusion, and agitation with a mild CSF lymphocytosis. Other workup to determine the cause of her altered mental status was otherwise negative. The literature available in the English language on HaNDL syndrome is reviewed, including its history, pathophysiology, possible associations with migraine and stroke, and previously reported cases of confusional states in this syndrome. While HaNDL syndrome has been a described entity since the 1980s, its pathophysiology has yet to be clearly defined.http://dx.doi.org/10.1155/2013/317685
spellingShingle Sarah Nelson
Confusional State in HaNDL Syndrome: Case Report and Literature Review
Case Reports in Neurological Medicine
title Confusional State in HaNDL Syndrome: Case Report and Literature Review
title_full Confusional State in HaNDL Syndrome: Case Report and Literature Review
title_fullStr Confusional State in HaNDL Syndrome: Case Report and Literature Review
title_full_unstemmed Confusional State in HaNDL Syndrome: Case Report and Literature Review
title_short Confusional State in HaNDL Syndrome: Case Report and Literature Review
title_sort confusional state in handl syndrome case report and literature review
url http://dx.doi.org/10.1155/2013/317685
work_keys_str_mv AT sarahnelson confusionalstateinhandlsyndromecasereportandliteraturereview