HaNDL “The syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis” tanımlamasından kısaltılmıştır. Sendrom, baş ağrısı, geçici nörolojik defisitler ve beyin omurilik sıvısı (BOS)’ında lenfositik pleositoz ile karakterize semptom ve bulgulardan oluşur. Klinik prezentasyon inme ve viral ensefalit dahil olmak üzere bazı ciddi nörolojik bozukluklara benzeyebilir, auralı migren atağını taklit edebilir. Bu makalede, migren atağını takiben, konuşamama, uykuya meyil ve ajitasyon şikayeti ile acil servise başvuran 21 yaşında kadın hasta olgusu sunuldu. Olgunun göz dibi muayenesinde grade 4 papil ödemi, BOS incelemesinde lenfositik pleositoz, protein yüksekliği tespit edildi ve HaNDL sendromu olarak tanımlandı.

HaNDL Syndrome: Case Report

HaNDL is abbreviated from the definition of “The syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis”. The syndrome consists of symptoms and signs characterized by headache, transient neurological deficits, and lymphocytic pleocytosis in the cerebrospinal fluid (CSF). The clinical presentation may resemble some serious neurological disorders, including stroke and viral encephalitis, and may mimic a migraine attack with aura. In this article, a case of a 21-year-old female patient who presented to the emergency department with complaints of dysphasia, somnolence and agitation following a migraine attack was presented. Grade 4 papilledema was detected in the fundus examination, lymphocytic pleocytosis and protein elevation were detected in the CSF examination, and it was defined as HaNDL syndrome.