Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis mimicking dengue encephalitis in a child

Authors

  • Indrajit Suresh Department of Gastroenterology, JSS University Hospital, Mysore, Karnataka
  • Priyanka Deb Department of Paediatrics, JSS University Hospital, Mysore, Karnataka
  • Chandra Babu D. Department of Gastroenterology, JSS University Hospital, Mysore, Karnataka
  • Jeevan H.R. Department of Gastroenterology, JSS University Hospital, Mysore, Karnataka

DOI:

https://doi.org/10.18203/2320-6012.ijrms20150657

Keywords:

HaNDL, CSF Pleocytosis, Migraine, Headache, Meningism

Abstract

The syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) has been infrequently reported in children. This condition can mimic many serious conditions of the central nervous system, while actually being benign in nature. The authors present the report of an 8 year old developmentally normal female with family and personal history of migraine, which was initially suspected to have Dengue encephalitis. She had an episode of seizures, meningism and altered sensorium. Normal mental status and physical findings were observed intermittently. Detailed evaluation including analysis of blood, cerebrospinal fluid (CSF) and neuroimaging were done. Neuro-infections, vascular pathology and autoimmune disorders were ruled out prior to reaching a diagnosis of HaNDL. She responded well to symptomatic treatment and made a full recovery. She was discharged on migraine prophylaxis considering her history. Dengue as causation and the occurrence of seizures in HaNDL has not been reported previously.

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Published

2017-01-12

How to Cite

Suresh, I., Deb, P., D., C. B., & H.R., J. (2017). Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis mimicking dengue encephalitis in a child. International Journal of Research in Medical Sciences, 3(9), 2481–2484. https://doi.org/10.18203/2320-6012.ijrms20150657

Issue

Section

Case Reports