![]() She was smoking a cigarette with her friend when she became confused and started asking, “How did we get here?” repeatedly. You wonder if you should activate the stroke team and order an emergent CT of the brain.Ī 54-year-old woman with hypertension presents with sudden memory loss. When you step away and subsequently return to the bedside a few minutes after the initial encounter, the patient does not recognize you and asks, “Have we met before?” The patient has no other complaints, and there are no neurologic or infectious symptoms. He is perseverating about what he was doing 1 hour ago. He knows what he did yesterday and this morning but cannot seem to recall events of the past few hours. The patient is calm, cooperative, and oriented to person, place, and time, but he frequently repeats himself and does not appear to be forming new memories. His wife has been with him since the onset of symptoms, when he started asking her the same question repeatedly every few minutes. Opening CasesĪ 60-year-old man with no significant medical history is brought to the ED by EMS after 2 hours of sudden memory loss. This review provides a detailed framework for distinguishing transient global amnesia from its dangerous mimics and managing its course in the emergency department. In witnessed transient global amnesia with classic features, a minimalist approach is reasonable, avoiding overtesting, inappropriate medication, and medical interventions in favor of observation, ensuring patient safety, and reassuring patients and their families. ![]() Transient global amnesia confers no known long-term risks however, when abnormal signs or symptoms are present, they take precedence and guide the formliation of a differential diagnosis and investigation. The diagnosis is dependent on eliminating other more serious etiulogies including toxic ingestions, acute strokes, complex partial seizures, and central nervous system infections. Transient global amnesia is a clinically distinct syndrome characterized by the acute inability to form new memories. High-Risk Features In Patients With Suspected Transient Global Amnesia Diagnostic Features Of Transient Global Amnesia
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