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Title of Journal: Neurol Sci

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Abbravation: Neurological Sciences

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Springer Milan

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DOI

10.1007/bf02951627

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1590-3478

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Confusional state as first symptom of HaNDL syndro

Authors: Fabio Frediani Gennaro Bussone
Publish Date: 2015/05/27
Volume: 36, Issue: 1, Pages: 71-74
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Abstract

HaNDL transient headache and neurological deficits with cerebrospinal fluid lymphocytosis syndrome is an infrequent condition included at group 7 “headache attributed to nonvascular intracranial disorder” in the recent International Classification of Headache Disorders ICHD3 code 735 The description states “migrainelike headache episodes typically 1–12 accompanied by neurological deficits including hemiparaesthesia hemiparesis and/or dysphasia but positive visual symptoms only uncommonly lasting several hours There is lymphocytic pleocytosis The disorder resolves spontaneously within 3 months” In this description confusional state is not considered as a main symptom even if in the literature this aspect is frequently reported Here we report the cases of two young boys presenting with confusional state as the main complaint The possible pathogenesis of the different clinical presentation is discussed

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