General

CaseStudy-01112016

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1 Nov 2016 - General
 

A middle aged gentleman, with background history of chronic obstructive pulmmonary disease, hypertension, obstructive sleep apnea, type 2 diabetes mellitus, smoker of 30 pack years history, was admitted to hospital due to sudden onset of disorientation for 30 minutes and was unable to remember the event. According to his wife, they were out shopping for grocery at around noon time. During shopping, his wife suddenly noted the husband became a bit agitated, with some confusion and disorientation. There was no weakness on either of his right or left sided of the limbs, no slurred slurred speech, no facial droop, no ataxia. The wife brought him to nearby coffee shop to sit down for a while. There was a spontenous recovery after 30 minutes, but patient was not able to recall the event. What will be your differential diagnosis ???

Yes Mahmoud AbdelAziz , transient global amnesia is the correct diagnosis. Transient Global Amnesia (TGA) is the sudden unexpected , brief episode of memory loss that cannot be accredited to a more common neurological condition, like stroke or epilepsy. This patient has no stroke like symptoms such as hemiplegia, hemianopia, ataxia, facial nerve palsy, slurred speech, sensory or visual inattention. And this pa...
 (Total 110 words)
I guess this case is mostly a transient global amnesia. Its exact cause is not known, but one type is caused by drinking too much alcohol or taking certain drugs. People with this amnesia suddenly but temporarily become unable to store new memories and to recall events that happened after the amnesia occurred. Usually, doctors diagnose this amnesia based mainly on symptoms. Transient global amnesia usually occurs in people aged 50 to 70. It rarely occurs in people under 4...
 (Total 170 words)