The Transient Syndrome of Headache With Neurologic Deficits and CSF Lymphocytosis. Report of a Case Without Severe Headache
Article first published online: 4 JUN 2003
Headache: The Journal of Head and Face Pain
Volume 38, Issue 2, pages 135–137, February 1998
How to Cite
Oldani, A., Marcone, A., Zamboni, M., Zucconi, M. and Ferini-Strambi, L. (1998), The Transient Syndrome of Headache With Neurologic Deficits and CSF Lymphocytosis. Report of a Case Without Severe Headache. Headache: The Journal of Head and Face Pain, 38: 135–137. doi: 10.1046/j.1526-4610.1998.3802135.x
- Issue published online: 4 JUN 2003
- Article first published online: 4 JUN 2003
- Accepted for publication May 16, 1997.
- Cited By
- transient neurologic deficits;
- CSF lymphocytosis
It has been recently reported that the occurrence of severe headache associated with temporary neurologic deficits and CSF lymphocytic pleocytosis is highly suggestive of the so-called “transient syndrome of headache with neurologic deficits and CSF lymphocytosis.” In particular, in almost all of the 40 patients reported in the literature to date, the head pain was severe and of a type not previously experienced by the patient. In the present case report, we describe a patient who fulfilled almost all the proposed diagnostic criteria, except for the lack of a severe headache. Probably, a severe headache is not a compulsory feature of this syndrome. Some patients have rather mild headache accompanying their episodes of neurologic symptoms, and some attacks occur without any accompanying headache. It is possible that in some cases the absence of a severe headache, and thus the lack of CSF analysis, lead to misdiagnosis. Therefore, the prevalence of this syndrome could be underestimated.