Durrani Muhammad, Milas Jerry, Parson Gregory, Pescatore Richard
Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey.
Clin Pract Cases Emerg Med. 2018 Sep 28;2(4):334-337. doi: 10.5811/cpcem.2018.9.39338. eCollection 2018 Nov.
Transient global amnesia (TGA) is typified by an abrupt and transient anterograde amnesia, "with repetitive questioning and often variable retrograde amnesia persisting up to 24 hours." A 54-year-old male presented to our emergency department with paroxysms of left-sided flank pain, suggestive of renal colic. Computed tomography (CT) of the abdomen/pelvis revealed a three-millimeter left ureterovesicular-junction calculus. Pain control proved difficult, necessitating multiple doses of opioid and non-opioid analgesia. Subsequently, the patient developed repetitive questioning and perseveration with anterograde amnesia with a negative CT brain and unremarkable further workup. He experienced a complete resolution of symptoms within a 24-hour period, with a discharge diagnosis of TGA secondary to nephrolithiasis. This is the third case of TGA attributed to nephrolithiasis in the medical literature.
短暂性全面性遗忘症(TGA)的典型表现是突发且短暂的顺行性遗忘,“伴有反复提问,逆行性遗忘常多变,可持续长达24小时”。一名54岁男性因左侧胁腹阵发性疼痛前来我院急诊科就诊,提示肾绞痛。腹部/盆腔计算机断层扫描(CT)显示左侧输尿管膀胱连接部有一颗3毫米的结石。疼痛控制困难,需要多次使用阿片类和非阿片类镇痛药。随后,患者出现反复提问和持续言语,伴有顺行性遗忘,脑部CT检查结果为阴性,进一步检查无异常。他在24小时内症状完全缓解,出院诊断为肾结石继发TGA。这是医学文献中第三例归因于肾结石的TGA病例。