Rollnik J D, Traitel B, Dietrich B, Lenz O
Institut für neurorehabilitative Forschung (InFo) der BDH-Klinik Hessisch Oldendorf gGmbH, Neurologisches Zentrum mit Intensivmedizin, Stroke Unit und phasenübergreifender Rehabilitation, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Hannover (MHH), Greitstr. 18-28, 31840, Hessisch Oldendorf, Deutschland,
Nervenarzt. 2015 Feb;86(2):174-8. doi: 10.1007/s00115-014-4215-3.
Unilateral cerebral ischemia of the hippocampus is very rare. This paper reviews the literature and presents the case of a 59-year-old woman with an amnestic syndrome due to a left hippocampal stroke. The patient suffered from retrograde amnesia which was most severe over the 2 days prior to presenting and a slight anterograde amnesia. In addition, a verbal memory disorder was confirmed 1 week after admission by neurological tests. As risk factors, arterial hypertension and a relative hyper-beta lipoproteinemia were found. This case shows that unilateral amnestic stroke, e.g. in the hippocampus region, may be the cause of an amnestic syndrome and should be included in the differential diagnostics.
单侧海马脑缺血非常罕见。本文回顾了相关文献,并介绍了一例59岁女性因左侧海马卒中导致遗忘综合征的病例。患者患有逆行性遗忘,在就诊前2天最为严重,还有轻微的顺行性遗忘。此外,入院1周后经神经学检查确诊存在言语记忆障碍。作为危险因素,发现有动脉高血压和相对性高β脂蛋白血症。该病例表明,单侧遗忘性卒中,如发生在海马区,可能是遗忘综合征的病因,应纳入鉴别诊断。