Stöllberger Claudia, DeCillia Nicolas, Finsterer Josef
Rudolfstiftung, Juchgasse 25, A-1030 Wien, Austria.
Neurol Neurochir Pol. 2018 May-Jun;52(3):394-396. doi: 10.1016/j.pjnns.2017.12.013. Epub 2018 Jan 6.
Embolic stroke is a complication of Tako-Tsubo-cardiomyopathy (TTC), transient left ventricular dysfunction mimicking myocardial infarction without coronary culprit lesion explaining the whole left ventricular dysfunction. Transient global amnesia (TGA) is characterized by sudden onset of anterograde amnesia without compromise of other neurologic functions.
A 57 years old female was admitted because of sudden confusion and loss of her memory after emotional stress. TGA was diagnosed. Because of chest pain and laboratory tests indicating myocardial ischemia, she underwent coronary angiography which was normal. Within the following 24h her memory improved. She complained about severe vertigo and cerebral magnetic resonance imaging showed a recent ischemia in the left cerebellum.
TGA is not a disease for the neurologists exclusively but also cardiac comorbidities have to be considered and cardiologists should be involved in the acute care of these patients in order not to overlook life-threatening diseases.
栓塞性中风是应激性心肌病（TTC）的一种并发症，TTC是一种短暂性左心室功能障碍，类似于心肌梗死，但没有冠状动脉病变来解释整个左心室功能障碍。短暂性全面性遗忘症（TGA）的特征是突然发生顺行性遗忘，而其他神经功能不受影响。
一名57岁女性因情绪应激后突然出现意识模糊和失忆入院。诊断为TGA。由于胸痛和实验室检查提示心肌缺血，她接受了冠状动脉造影，结果正常。在接下来的24小时内，她的记忆力有所改善。她诉说严重眩晕，脑部磁共振成像显示左侧小脑近期有缺血灶。
TGA并非仅为神经科医生所关注的疾病，还必须考虑心脏合并症，心脏病专家应参与这些患者的急性护理，以免忽视危及生命的疾病。
