BMJ Neurology Open (Jul 2020)

HaNDL with bilateral central venous occlusions

  • Wendy Wang,
  • Owen White,
  • Heather G Mack,
  • Richard Stawell,
  • John Waterston

DOI
https://doi.org/10.1136/bmjno-2020-000043
Journal volume & issue
Vol. 2, no. 1

Abstract

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Background The syndrome of Headache and focal Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL) is considered a rare, idiopathic and self-limited condition.Methods We present a patient with HaNDL who had unique findings of florid optic disc haemorrhages from bilateral central retinal vein occlusions.Results Our patient made a full recovery with conservative management.Conclusion It is important for medical attendants to recognise that HaNDL syndrome can be associated with neuro-ophthalmic complications.