| Recurrent orthostatic global amnesia in a patient with postoperative hyperfibrinogenemia. | |
| | |
MedLine Citation:
|
PMID: 18589346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Transient global amnesia (TGA) is characterized by sudden, temporary dysfunction of antegrade and recent retrograde memory without other neurologic deficits. Although there is sometimes a precipitating event, the origin of TGA remains controversial. We encountered a patient who developed recurrent TGA when upright, in whom the symptom promptly and regularly resolved when supine. Symptoms began about a week after cardiac surgery concurrent with marked hyperfibrinogenemia and acceleration of the erythrocyte sedimentation rate, and abated without recurrence when these laboratory abnormalities were ameliorated by anticoagulant and corticosteroid therapy. Diagnostic studies, including temporal artery biopsy and cerebral angiography, disclosed no anatomic vascular pathology. This is the first report of TGA associated with postoperative inflammation in which amnesia was provoked by orthostatic positioning. In conclusion, these observations implicate ischemia caused by hemodynamic vascular insufficiency as a possible cause of TGA. |
| | |
Authors:
|
Brett A Sealove; Louis M Aledort; Charles B Stacy; Jonathan L Halperin |
Related Documents
:
|
8026 - Takayasu arteritis. an arteriographic-pathological correlation. 12102466 - Involvement of peripheral arteries in giant cell arteritis: a color doppler sonography ... 9688806 - Pseudoaneurysm of the superficial femoral artery in behçet's disease with spontaneous ... 19299026 - Serial imaging changes during treatment of takayasu arteritis with pulmonary artery ste... 9737466 - Endovascular retrieval of two migrated venous stents by means of balloon catheters. 9846406 - Familial thoracic aortic aneurysms and dissections. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Volume: 17 ISSN: 1532-8511 ISO Abbreviation: J Stroke Cerebrovasc Dis Publication Date: 2008 Jul-Aug |
Date Detail:
|
Created Date: 2008-06-30 Completed Date: 2008-09-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9111633 Medline TA: J Stroke Cerebrovasc Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 241-3 Citation Subset: IM |
Affiliation:
|
Mount Sinai School of Medicine, New York, New York 10029, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adrenal Cortex Hormones
/
therapeutic use Aged Amnesia, Transient Global / blood, drug therapy, etiology* Anticoagulants / therapeutic use Aortic Valve Stenosis / complications, surgery Bioprosthesis* Blood Sedimentation Coronary Artery Bypass* Dizziness* Fibrinogen / analysis* Heart Valve Prosthesis Implantation* Humans Male Myocardial Infarction / complications, surgery Optic Neuropathy, Ischemic / complications Postoperative Complications / blood, drug therapy, etiology* Recurrence Supine Position Tachycardia, Supraventricular / complications Thrombophilia / blood, complications* |
| Chemical | |
Reg. No./Substance:
|
0/Adrenal Cortex Hormones; 0/Anticoagulants; 9001-32-5/Fibrinogen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Optimal outcome measures for detecting clinical benefits of early reperfusion: insights from the DEF...
Next Document: A patient with idiopathic thrombocytopenic purpura presenting with an acute ischemic stroke.