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Journal of Child Neurology
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A Child with Transient Neurologic Deficits and Headache Associated with Cerebrospinal Fluid Pleocytosis

Robert Safier, MD

Division of Child Neurology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Gulay Alper, MD

Division of Child Neurology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, gulayada{at}aol.com

We report a case of a 10-year-old girl who had several episodes of severe headache, altered consciousness, and temporary neurologic signs and symptoms within a 2-month period. Cerebrospinal fluid examination showed lymphocytic pleocytosis and increased protein. Extensive microbiologic investigation and neuroimaging studies were negative. Cerebrospinal fluid findings were normalized within a 3-month period, and the patient has not had further episodes through 15 months of follow-up. This combination of symptoms represents a benign, monophasic illness without further progression. The etiology, however, remains unclear. (J Child Neurol 2005;20:439—441).

Journal of Child Neurology, Vol. 20, No. 5, 439-441 (2005)
DOI: 10.1177/08830738050200051701


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