Transient Global Amnesia in a Patient Presenting with Hypertensive Emergency; a Case Report
学术急诊医学档案,
卷 8 编号 1 (2020),
1 一月 2020
,
第 e66 页
https://doi.org/10.22037/aaem.v8i1.850
摘要
Transient global amnesia (TGA) is characterized by the abrupt onset of global amnesia, particularly anterograde amnesia. The pathophysiology of TGA is poorly understood and it could be caused by various factors and be associated with various diseases. We report a 58-year-old man who presented to the local emergency room with TGA lasting for several hours. The patient had complete anterograde amnesia without a past medical history of migraine or neurological findings. His systolic blood pressure on presentation was 220 mmHg, which was immediately treated with intravenous calcium ion influx inhibitor.
Other than global amnesia, there was no evidence of neurological disturbance. Computed tomography and magnetic resonance imaging results were unremarkable. After treatment of his hypertension, his amnesia resolved within 12 hours. Emergency department physicians may encounter TGA. Correct diagnosis of the condition depends on recognizing the disease.
- transient global amnesia, anterograde memory deficit, hypertensive emergencies, arterial hypertension
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参考
Arena JE, Rabinstein AA. Transient global amnesia. Mayo Clin Proc. 2015;90(2):264-72.
Nakamizo T, Tsuzuki I, Koide T. Transient Global Amnesia with Reversible White Matter Lesions: A Variant of Posterior Reversible Encephalopathy Syndrome? Case Rep Neurol Med. 2015;2015:541328.
Nedelmann M, Kaps M. Elevated blood pressure as a prominent finding in patients with transient global amnesia. Eur J Neurol. 2007;14(7):e22.
Hodges JR, Warlow CP. Syndromes of transient amnesia: towards a classification. A study of 153 cases. J Neurol Neurosurg Psychiatry. 1990;53(10):834-43.
Espiridion ED, Gupta J, Bshara A, Danssaert Z. Transient Global Amnesia in a 60-year-old female with Post-traumatic Stress Disorder. Cureus. 2019;11(9):e5792.
Yi M, Sherzai AZ, Ani C, Shavlik D, Ghamsary M, Lazar E, et al. Strong Association Between Migraine and Transient Global Amnesia: A National Inpatient Sample Analysis. J Neuropsychiatry Clin Neurosci. 2019;31(1):43-8.
Sander K, Sander D. New insights into transient global amnesia: recent imaging and clinical findings. Lancet Neurol. 2005;4(7):437-44.
Bartsch T, Deuschl G. Transient global amnesia: functional anatomy and clinical implications. Lancet Neurol. 2010;9(2):205-14.
Michel P, Beaud V, Eskandari A, Maeder P, Demonet JF, Eskioglou E. Ischemic Amnesia: Causes and Outcome. Stroke. 2017;48(8):2270-3.
Winbeck K, Etgen T, von Einsiedel HG, Röttinger M, Sander D. DWI in transient global amnesia and TIA: proposal for an ischaemic origin of TGA. J Neurol Neurosurg Psychiatry. 2005;76(3):438-41.
Jovanovic ZB, Pavlovic AM, Vujisic Tesic BP, Pekmezovic TP, Kostic Boricic MV, Cvitan EZ, et al. Comprehensive Ultrasound Assessment of the Craniocervical Circulation in Transient Global Amnesia. J Ultrasound Med. 2018;37(2):479-86.
Melo TP, Ferro JM, Ferro H. Transient global amnesia. A case control study. Brain. 1992;115 Pt 1:261-70.
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