孕期双侧穹窿梗死所致急性失忆：一例报告
Acute amnesia during pregnancy due to bilateral fornix infarction: A case report.
作者信息
Cho Min Jai, Shin Dong-Ick, Han Moon-Ku, Yum Kyu Sun
机构信息
Department of Neurosurgery, Chungbuk National University Hospital, Cheongju-si 28644, South Korea.
Department of Neurology, Chungbuk National University Hospital, Cheongju-si 28644, South Korea.
出版信息
World J Clin Cases. 2020 Oct 6;8(19):4494-4498. doi: 10.12998/wjcc.v8.i19.4494.
BACKGROUND
Stroke is an important cause of maternal morbidity and mortality during pregnancy and puerperium. Isolated amnesia is a rare clinical symptom caused by ischemic stroke during pregnancy. We present the first documented case of acute amnesia during pregnancy due to bilateral fornix infarction.
CASE SUMMARY
A 32-year-old nullipara presented at 35 wk of gestation with acute amnesia and headache. Brain magnetic resonance imaging and angiography revealed acute infarction in the bilateral anterior fornix. There was no evidence of causative abnormality after extensive work-up, including for vascular abnormality, cardiac disease, coagulopathy, and pregnancy-related conditions. The patient was diagnosed with cryptogenic stroke. Aspirin was administered immediately, and the patient recovered fully without recurrence.
CONCLUSION
Acute isolated amnesia due to stroke is rare during pregnancy. Early diagnosis of stroke and immediate treatment prevent neurologic sequelae.
背景
中风是孕期和产褥期孕产妇发病和死亡的重要原因。孤立性失忆是孕期缺血性中风引起的一种罕见临床症状。我们报告首例因双侧穹窿梗死导致孕期急性失忆的病例。
病例摘要
一名32岁初产妇在妊娠35周时出现急性失忆和头痛。脑部磁共振成像和血管造影显示双侧前穹窿急性梗死。经过包括血管异常、心脏病、凝血障碍和妊娠相关疾病在内的广泛检查，没有发现病因异常的证据。该患者被诊断为隐源性中风。立即给予阿司匹林治疗，患者完全康复且未复发。
结论
孕期因中风导致的急性孤立性失忆很少见。中风的早期诊断和及时治疗可预防神经后遗症。
Zotero 插件