| Title | The syndrome of headache with neurologic deficits and cerebrospinal fluid lymphocytosis mimicking acute ischemic stroke. | | Author(s) | Ariës MJ, van Oostrom JC, de Keyser J | | Institution | Department of Neurology, University Medical Centre Groningen, University of Groningen, The Netherlands. | | Source | J Stroke Cerebrovasc Dis 2008 Jul-Aug; 17(4):246-7. | | Abstract | Headache with neurologic deficits and cerebrospinal fluid lymphocytosis is a benign condition with a transient ischemic attack-like presentation. We present a case of a 22-year-old man with episodes of right-sided weakness, global dysphasia, and right-sided homonymous hemianopsia associated with frequent vomiting. Systemic thrombolytic therapy was considered. A subsequent magnetic resonance image with diffusion-weighted images revealed normal findings. A diagnosis of headache with neurologic deficits and cerebrospinal fluid lymphocytosis was made based mainly on clinical symptoms and cerebrospinal fluid analysis. With the current pressure on "door-to-needle" time for thrombolysis, it is important to keep an open eye to stroke mimics and exclude them if possible. We, therefore, strongly advise considering noninvasive magnetic resonance diffusion-weighted imaging in patients with unusual presentations (e.g., the vomiting in our patient) before thrombolysis. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18589348 |
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