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Copyright © 2021 Melvin Parasram et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/

Abstract

Introduction. Transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL) is defined as a secondary, nonvascular headache disorder characterized by the findings described in its name. Patients with HaNDL syndrome typically present with gradual onset migrainous headaches of moderate to severe intensity with transient neurological symptoms. Case Report. We discuss a patient who presented with thunderclap headache, recent transient neurologic deficits, and was ultimately diagnosed with HaNDL after an extensive neurologic evaluation. Conclusion. Thunderclap headache has very rarely been described in patients with HaNDL. After excluding emergent and secondary causes, HaNDL should be considered in patients with thunderclap-quality headaches, particularly when there is a history of transient neurological symptoms.

Details

Title
HaNDL Syndrome Presenting with Thunderclap Headache
Author
Parasram, Melvin  VIAFID ORCID Logo  ; Malhotra, Ashwin; Yoo, Andrea S; Mir, Saad A  VIAFID ORCID Logo 
Editor
Peter Berlit
Publication year
2021
Publication date
2021
Publisher
John Wiley & Sons, Inc.
ISSN
20906668
e-ISSN
20906676
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2540409333
Copyright
Copyright © 2021 Melvin Parasram et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/