Garvey Matthew D, Miller Caitlin J, Kim Esther U, Skulikidis George, Shetty Teena
Department of Neurology, Hospital for Special Surgery, New York, NY, United States.
Front Neurol. 2020 Nov 12;11:517863. doi: 10.3389/fneur.2020.517863. eCollection 2020.
Few studies have investigated transient global amnesia (TGA) in the context of a concussion and the concussion sequelae following TGA. Here we review the case of a 43-year-old male with onset of transient global anterograde and retrograde amnesia 22 days after a sustained concussion. The patient's head CT, MRI of brain, and EEG were reported normal, and the patient regained full cognitive function 8 h after the TGA episode, with no recollection of the conspiring events. Following the TGA episode, the patient experienced notable worsening of concussive symptoms, including headache, head pressure, anxiety, neck pain, feeling slowed down, fogginess, not feeling right, difficulty remembering, and fatigue. The patient remained symptomatic for 32 days after the TGA episode. We suggest that a lingering window of post-concussion cerebral vulnerability, which may extend beyond clinical recovery, could lead to increased susceptibility to acute cognitive deficits, such as TGA.
很少有研究在脑震荡的背景下调查短暂性全面性遗忘症(TGA)以及TGA后的脑震荡后遗症。在此,我们回顾一例43岁男性病例,其在持续性脑震荡22天后出现短暂性全面性顺行性和逆行性遗忘。患者的头部CT、脑部MRI和脑电图报告均正常,且患者在TGA发作8小时后恢复了全部认知功能,对发病过程毫无记忆。TGA发作后,患者的脑震荡症状显著恶化,包括头痛、头部压迫感、焦虑、颈部疼痛、感觉迟钝、头脑不清、感觉不适、记忆困难和疲劳。TGA发作后,患者持续出现症状达32天。我们认为,脑震荡后脑易损性的持续窗口期可能超出临床恢复时间,这可能导致对急性认知缺陷(如TGA)的易感性增加。