Transient global amnesia (TGA) is a syndrome characterized by anterograde amnesia with otherwise intact cognitive function, resolving within 24 hours of onset, occurring in the absence of neurological changes. Recurrent episodes remain rare. We report an interesting case of recurrent episodes of TGA in a 63-year-old woman presenting with altered mental status. She had no memory of antecedent events and demonstrated repetitive questioning but retained awareness of self. Physical examination and laboratory diagnostics were unremarkable. Brain magnetic resonance imaging revealed scattered foci of increased FLAIR signal within the bilateral periventricular and subcortical white matter. She was notably diagnosed with TGA a few months prior when she had presented with similar symptoms. During the current hospitalization, she remained alert and fully oriented, with resolution of perseveration. This case emphasizes the recognition of TGA as an important neurological diagnosis, uniquely describes not only the recurrence, but the short interval between recurrent episodes.
Rao, Shiavax J; Allen, Claire; Blackwood, David P; and Haas, Christopher J
"Recurrent Episodes of Transient Global Amnesia: A Rare Clinical Entity,"
Journal of Community Hospital Internal Medicine Perspectives: Vol. 12:
6, Article 16.
Available at: https://scholarlycommons.gbmc.org/jchimp/vol12/iss6/16