A Patient of Migraine-like Headache with Amnesia, Pleocytosis and Transient Hypoperfusion of Cerebral Blood Flow

Yukiko TADA, Kiyoshi NEGORO, Masaaki ABE, Jun-ichi OGASAWARA, Motoharu KAWAI, Mitsunori MORIMATSU
2005 Internal medicine (Tokyo. 1992)  
Pseudomigraine with pleocytosis (PMP) is an uncommon disease in Japan. The diagnostic criteria include at least one episode of transient neurological deficit accompanied or followed by migraine-like severe headache, cerebrospinal fluid (CSF) lymphocytosis, and normal neuroimaging. Both the etiology and the pathophysiology of PMP is not yet well defined. We report a 40-year-old man with a PMP-like syndrome. He came to our clinic because of severe throbbing headache and amnesia, and the
more » ... n showed CSF lymphocytosis of 23/mm 3 , a transient decrease of cerebral blood flow in the left thalamus. All the symptoms were completely resolved within 2 months. (Internal Medicine 44: 743-746, 2005) Key words: pseudomigraine with pleocytosis (PMP), syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL), amnesia, cerebral blood flow, triptan
doi:10.2169/internalmedicine.44.743 pmid:16093598 fatcat:ibbp2dvbzbab3omd245ooe5h4i