Transient global amnesia
Keywords:
Transient global amnesia, precipitate events, hippocampal areaAbstract
Transient global amnesia (TGA) is a sudden onset of anterograde amnesia and some retrograde amnesia. TGA spontaneously resolves within 4 to 6 hours and may last up to 24 hours. The etiology and pathophysiology of TGA remain unclear, although recent hypothesis suggests that TGA potentially resulted from venous congestion rather than arterial ischemia or seizure liked episode. Most TGA patients had attacks following certain precipitating events either from emotional or physical stress. The brain magnetic resonance imaging shows delayed diffuse restriction in hippocampal area which mostly appeared at 24 to 48 hours after symptom onset and not persistent. Currently, there is no specific treatment for TGA. Avoidance of precipitating events has been suggested. However, recurrence of TGA is uncommon and the long-term cognitive dysfunction is subsequently unchanged.
References
Bender MB. Syndrome of isolated episode of confusion with amnesia. J Hillside Hosp 1956;5:212-15.
Guyotat M, Courjon J. Les ictus amnésiques. J Med Lyon 1956;37:697-701.
Fisher CM, Adams RD. Transient global amnesia. Acta Neurol Scand Suppl 1964; 40 (suppl 9):1–83.
Matias-Guiu J, Blanquer J, Falip R, et al. Incidence of transient global amnesia in a Alcoi (Spain). Acta Neurol Scand 1992; 86(2):221.
Miller JW, Petersen RC, Metter EJ, et al. Transient global amnesia: clinical characteristics and prognosis. Neurology 1987;37(5):733-737.
Koski KJ, Marttila RJ. Transient global amnesia: incidence in an urban population. Acta Neurol Scand 1990;81(4):358-360.
Lauria G, Gentile M, Fassetta G, et al. Incidence of transient global amnesia in the Belluno province, Italy: 1985 through 1995. Results of a community-based study. Acta Neurol Scand 1997;95(5):303-10.
Quinette P, Guillery-Girard B, Dayan J, et al. What does transient global amnesia really mean? review of the literature and thorough study of 142 cases. Brain 2006;129(pt 7):640-1658.
Kamthong A, Keandoungchun J, Ratanakorn D, et al. Transient Global Amnesia in Thai Academic Stroke Center. Thai Journal of Neurology 2015;31(3):12–23.
Bartsch T, Alfke K, Stingele R, et al. Selective affection of hippocampal CA-1 neurons in patients with transient global amnesia without long-term sequelae. Brain 2006;129:2874-84.
Bartsch T, Deuschl G. Transient global amnesia: functional anatomy and clinical implications. Lancet Neurol 2010;9(2):205-214.
Arena JE, Rabinstein AA. Transient global amnesia. Mayo Clin Proc 2015;90(2):264.
Spiegel DR, Smith J, Wade RR, et al. Transient global amnesia: current perspectives. Neuropsychiatr Dis Treat 2017;13:2691-2703.
Rosler A, Mras GJ, Frese A, et al. Precipitating factors of transient global amnesia. J Neurol 1999;246:53-54.
Hodges JR, Warlow CP. The aetiology of transient global amnesia. A case-control study of 114 cases with prospective follow-up. Brain 1990;113:639-57.
Zorzon M, Antonutti L, Mase G, et al. Transient global amnesia and transient ischemic attack. natural history, vascular risk factors, and associated conditions. Stroke 1995;26:1536-42.
Hodges JR, Warlow CP. Syndromes of transient amnesia: towards a classification. A study of 153 cases. J Neurol Neurosurg Psychiatry 1990;53(10):834-843.
Michel P, Beaud V, Eskandari A, et al. Ischemic amnesia: causes and outcome. Stroke 2017;48:2270-2273.
Sedlaczek O, Hirsch JG, Grips E, et al. Detection of delayed focal MR changes in the lateral hippocampus in transient global amnesia. Neurology 2004;62:2165-70.
Szabo K, Hoyer C, Caplan LR, et al. Diffusion-weighted MRI in transient global amnesia and its diagnostic implications. Neurology 2020;95(2):e206-e212.
Bartsch T, Alfke K, Wolff S, et al. Focal MR spectroscopy of hippocampal CA-1 lesions in transient global amnesia. Neurology 2008;70:1030-35.
Sander K, Sander D. New insights into transient global amnesia: recent imaging and clinical findings. Lancet Neurol 2005;4:437-44.
Borroni B, Agosti C, Brambilla C, et al. Is transient global amnesia a risk factor for amnestic mild cognitive impairment? J Neurol 2004;251(9):1125-1127.
Gandolfo C, Caponnetto C, Conti M, et al. Prognosis of transient global amnesia: a long-term follow-up study. Eur Neurol 1992;32(1):52-57.
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