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短暂性全面性遗忘症的复发发作:一种罕见的临床病症。

Recurrent Episodes of Transient Global Amnesia: A Rare Clinical Entity.

作者信息

Rao Shiavax J, Allen Claire, Blackwood David P, Haas Christopher J

机构信息

Department of Medicine, MedStar Health Internal Medicine Residency Program, MedStar Union Memorial Hospital, 210 E University Pkwy, Baltimore, MD, 21218, USA.

Department of Medicine, MedStar Harbor Hospital, 3001 S Hanover St, Baltimore, MD, 21225, USA.

出版信息

J Community Hosp Intern Med Perspect. 2022 Nov 7;12(6):100-103. doi: 10.55729/2000-9666.1128. eCollection 2022.

Abstract

Transient global amnesia (TGA) is a syndrome characterized by anterograde amnesia with otherwise intact cognitive function, resolving within 24 h of onset, occurring in the absence of neurological changes. Recurrent episodes remain rare. We report an interesting case of recurrent episodes of TGA in a 63-year-old woman presenting with altered mental status. She had no memory of antecedent events and demonstrated repetitive questioning but retained awareness of self. Physical examination and laboratory diagnostics were unremarkable. Brain magnetic resonance imaging revealed scattered foci of increased FLAIR signal within the bilateral periventricular and subcortical white matter. She was notably diagnosed with TGA a few months prior when she had presented with similar symptoms. During the current hospitalization, she remained alert and fully oriented, with resolution of perseveration. This case emphasizes the recognition of TGA as an important neurological diagnosis, uniquely describes not only the recurrence, but the short interval between recurrent episodes.

摘要

短暂性全面性遗忘症(TGA)是一种以顺行性遗忘为特征的综合征,认知功能其他方面完好,起病后24小时内症状缓解,且无神经系统改变。复发情况仍然罕见。我们报告一例有趣的复发性TGA病例,患者为一名63岁女性,表现为精神状态改变。她对之前的事件没有记忆,反复提问,但仍有自我意识。体格检查和实验室诊断均无异常。脑磁共振成像显示双侧脑室周围和皮质下白质内散在的FLAIR信号增强灶。几个月前她出现类似症状时被明确诊断为TGA。在本次住院期间,她保持警觉且定向力完全正常,持续行为消失。该病例强调了将TGA识别为一项重要的神经学诊断,不仅独特地描述了复发情况,还描述了复发发作之间的短间隔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7505/9924637/3e79c3787dff/jchim-12-06-100f1.jpg

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