Bogousslavsky J, Regli F
Service de Neurologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Suisse.
Eur Neurol. 1988;28(2):106-10. doi: 10.1159/000116240.
Four patients who experienced isolated transient global amnesia had computed tomographic evidence for a cerebral infarct (3 cases) or hemorrhage (1 case). The medial part of the temporal lobe was involved in 2 patients (left in 1, right in 1), the left lentiform nucleus in 1 patient, and the left thalamus in 1 left-handed patient. These findings suggest that transient global amnesia may be associated with stroke in some cases, but it has no localizing value within the temporodiencephalic structures. No cerebrovascular events occurred over a 1-to 5-year follow-up, suggesting that transient global amnesia with infarction or hemorrhage is not a strong predictor of further stroke.
4例经历孤立性短暂性全面性遗忘症的患者有脑梗死(3例)或脑出血(1例)的计算机断层扫描证据。2例患者颞叶内侧受累(1例左侧,1例右侧),1例患者左侧豆状核受累,1例左利手患者左侧丘脑受累。这些发现提示,在某些情况下短暂性全面性遗忘症可能与卒中相关,但在颞间脑结构内无定位价值。在1至5年的随访中未发生脑血管事件,提示伴有梗死或出血的短暂性全面性遗忘症并非进一步卒中的有力预测指标。