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暂时性记忆窃取:肾结石继发的短暂性全面性遗忘症。

Temporary Memory Steal: Transient Global Amnesia Secondary to Nephrolithiasis.

作者信息

Durrani Muhammad, Milas Jerry, Parson Gregory, Pescatore Richard

机构信息

Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey.

出版信息

Clin Pract Cases Emerg Med. 2018 Sep 28;2(4):334-337. doi: 10.5811/cpcem.2018.9.39338. eCollection 2018 Nov.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6f/6230338/45e705e68c69/cpcem-02-334-g001.jpg

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