Document Detail

Transient global amnesia or subarachnoid haemorrhage? Clinical and laboratory findings in a particular type of acute global amnesia.
MedLine Citation:
PMID:  11764138     Owner:  NLM     Status:  MEDLINE    
Acute global amnesia may be due to several causes, such as transient global amnesia (TGA), acute drug-related confusional state, toxic substances, metabolic abnormalities, infective diseases, cerebral tumours, cerebrovascular accidents, subarachnoid haemorrhage and epilepsy. In particular both TGA and subarachnoid haemorrhage may be precipitated by sexual activity; by contrast the two diseases are quite different in prognosis and treatment. Ten subjects were admitted in the period 1997-99 to our emergency department for acute global amnesia related to sexual activity. They represented 18% of total acute global amnesias observed in the same period. All patients were males, aged between 41 and 64 years. TGA was found in nine cases, while one patient had subarachnoid haemorrhage, due to rupture of an aneurysm of the right middle cerebral artery. The patient with subarachnoid haemorrhage showed neurologic defects (second-degree nystagmus and retropulsion), while no major neurologic abnormalities were found in TGA. Likewise computerized tomography (CT) scan was positive only in the case of subarachnoid haemorrhage. Patients and relatives in most cases left out sexual activity as a trigger factor. This experience indicates that acute global amnesia related to sexual activity is mostly due to TGA. Major neurologic signs are suggestive of subarachnoid haemorrhage and an immediate CT scan is recommended. Targeted questions are needed to identify the cause of the event.
V Monzani; A Rovellini; G Schinco; V Silani
Related Documents :
16680268 - Persistent sciatic artery. radiologic features and patient management.
20448418 - Comparison of large intrasylvian and subpial hematomas caused by rupture of middle cere...
20569588 - Transarterial embolization of a cervical dural arteriovenous fistula. presenting with s...
19956198 - Treatment of a patient with post-turp hemorrhage using bilateral sape.
21426528 - Fenestrated asd closure in a child with idiopathic pulmonary hypertension and exercise ...
10196788 - Blood supply to the maxillary sinus relevant to sinus floor elevation procedures.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  7     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-12-14     Completed Date:  2002-03-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  291-3     Citation Subset:  IM    
Department of Internal Medicine, University of Milan, IRCCS Ospedale Maggiore di Milano, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Amnesia, Transient Global / diagnosis*,  etiology
Diagnosis, Differential
Middle Aged
Subarachnoid Hemorrhage / diagnosis
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Magnesium efficacy in magnesium deficient and nondeficient patients with rapid ventricular response ...
Next Document:  Haematemesis resulting from ischaemic strangulating intestinal obstruction.