Optic ataxia in a patient with HaNDL syndrome

We present a woman in her 40s who arrived at the emergency room with hypertension and optic ataxia. Her medical history is only relevant for obesity. Her lumbar puncture revealed high intracranial pressure and lymphocytic pleocytosis, and her neuroimaging tests, including angiography and venography, were normal. The patient improved after a cerebrospinal fluid drainage with a lumbar puncture, and her clinical manifestations resolved in parallel to the lymphocytic pleocytosis. The patient was diagnosed with a syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis and fully recovered 21 days after her discharge. ©

Emergency medicine; Headache (including migraines); Meningitis; Neuroopthalmology; Obesity (nutrition) acetazolamide; amlodipine; ibuprofen; paracetamol; telmisartan; adult; Article; aseptic meningitis; ataxia; blood pressure; blurred vision; case report; cerebral sinus thrombosis; cerebrospinal fluid analysis; cerebrospinal fluid drainage; clinical article; clinical feature; clinical outcome; differential diagnosis; emergency ward; female; follow up; headache; headache and neurological deficit with cerebrospinal fluid lymphocytosis syndrome; hospital admission; hospital discharge; human; human cell; hypertension; idiopathic intracranial hypertension; intracranial hypertension; intracranial pressure; lumbar puncture; lymphocyte; lymphocytic pleocytosis; lymphocytosis; medical history; motor function test; neurologic disease; obesity; optic ataxia; pain severity; physical examination; pleocytosis; polymorphonuclear cell; posterior reversible encephalopathy syndrome; reflex disorder; reversible cerebral vasoconstriction syndrome; visual acuity; visual disorder; ataxia; leukocytosis; lymphocytosis; neurologic disease; syndrome; Ataxia; Female; Humans; Leukocytosis; Lymphocytosis; Nervous System Diseases; Syndrome

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