Hoffmann Jennifer A, Goldman Michael P, Bachur Richard G
From the Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
Pediatr Emerg Care. 2020 May;36(5):e295-e297. doi: 10.1097/PEC.0000000000001408.
Isolated amnesia is an uncommon presenting complaint in the pediatric age group. We report the case of an 18-year-old woman who presented with the acute onset of memory difficulty and an otherwise normal neurologic examination. Brain magnetic resonance imaging demonstrated inflammation in the bilateral temporal lobes. Serum and cerebrospinal fluid testing ultimately revealed a diagnosis of autoimmune encephalitis. Although rare, the acute onset of isolated amnesia deserves a prompt, comprehensive evaluation.
孤立性失忆症在儿童年龄组中是一种不常见的临床表现。我们报告了一例18岁女性病例,该患者出现急性记忆障碍,神经系统检查其他方面正常。脑部磁共振成像显示双侧颞叶有炎症。血清和脑脊液检测最终确诊为自身免疫性脑炎。尽管罕见,但孤立性失忆症的急性发作值得迅速进行全面评估。