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多巴酚丁胺负荷超声心动图检查后出现的短暂性全面性遗忘症。

Transient Global Amnesia Following Dobutamine Stress Echocardiography.

作者信息

Hanser Maryam, Boyrazyan Diana, Chih Charisse N, Liu Antonio K

机构信息

Internal Medicine, Adventist Health White Memorial, Los Angeles, USA.

Molecular and Cell Biology, University of California Berkeley, Berkeley, USA.

出版信息

Cureus. 2025 May 18;17(5):e84357. doi: 10.7759/cureus.84357. eCollection 2025 May.

Abstract

Transient global amnesia is an uncommon neurological phenomenon characterized by sudden-onset anterograde amnesia, often accompanied by repetitive questioning and transient cognitive dysfunction, which resolves completely within 24 hours. While self-limiting, this can cause significant distress to both patients and their families, particularly when it arises in the context of medical interventions. Dobutamine stress echocardiography, a widely employed non-invasive diagnostic modality for assessing myocardial ischemia, valvular pathology, and left ventricular function, is generally regarded as safe and well-tolerated. There are only a few cases of transient global amnesia after dobutamine stress echocardiography. Our case report may align with the current belief that the adrenergic and hemodynamic stress induced by dobutamine stress echocardiography can occasionally elicit transient global amnesia in predisposed patients, challenging its reputation as a low-risk diagnostic procedure.

摘要

短暂性全面性遗忘症是一种罕见的神经学现象,其特征为突发的顺行性遗忘,常伴有反复提问和短暂的认知功能障碍,并在24小时内完全缓解。虽然这种情况会自行缓解,但会给患者及其家人带来极大困扰,尤其是在医疗干预的情况下发生时。多巴酚丁胺负荷超声心动图是一种广泛应用于评估心肌缺血、瓣膜病变和左心室功能的非侵入性诊断方法,通常被认为是安全且耐受性良好的。多巴酚丁胺负荷超声心动图后发生短暂性全面性遗忘症的病例仅有少数。我们的病例报告可能符合当前的观点,即多巴酚丁胺负荷超声心动图所诱发的肾上腺素能和血流动力学应激偶尔会在易感患者中引发短暂性全面性遗忘症,这对其作为低风险诊断程序的声誉提出了挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104f/12086023/785895b67c07/cureus-0017-00000084357-i01.jpg

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