Reisecker F, Deisenhammer E, Forstner K
Wien Klin Wochenschr. 1985 Oct 25;97(20):790-5.
The clinical picture of transient global amnesia (TGA) is discussed on the basis of the clinical findings in 19 patients. The central symptom is an acute memory loss, leading to disorientation, helplessness and pseudo-confusion. The symptoms last for several hours and then fade away. Pathogenetically a functional impairment of the limbic system is proposed. Most cases of TGA are due to ischaemic disease; rare causes are epileptic seizures, tumours, encephalitis and toxic or metabolic conditions. In order to clarify the aetiology and initiate appropriate therapy meticulous neurological investigation is necessary. The spontaneous prognosis of ischaemic forms is favourable, whilst in other cases it depends on the primary condition.
基于19例患者的临床发现，对短暂性全面性遗忘症（TGA）的临床表现进行了讨论。核心症状是急性记忆丧失，导致定向障碍、无助感和假性意识模糊。症状持续数小时后逐渐消退。病因学上提出是边缘系统的功能性损害。大多数TGA病例是由缺血性疾病引起的；罕见病因包括癫痫发作、肿瘤、脑炎以及中毒或代谢状况。为了明确病因并启动适当的治疗，细致的神经学检查是必要的。缺血性类型的自然预后良好，而在其他情况下则取决于原发疾病。
