The patient's style of writing during the TGA episode was more cursive than at baseline, but no grammatical or spelling errors were observed ( Fig. On the day after the TGA episode, we asked the patient to rewrite the same content to allow us to compare the text with that produced during the episode ( Fig. She had completely recovered to her baseline status after about 6 hours of memory loss and altered behavior. TGA: transient global amnesia.Ĭlick for larger image Download as PowerPoint slide After completely recovering from TGA, we asked the patient to rewrite the same content (B), and compared the two texts. 1A).ĭuring the TGA episode, the patient repetitively wrote about the date of symptom onset (open arrows), her worries regarding the marital state of her younger sister (arrowheads), and the name of the school and the grades her children were in (closed arrows) (A). In these writings, the patient repetitively asked and wrote about the date of symptom onset, her worries regarding the marital state of her younger sister, and the name of the school and the grades her children were in ( Fig. Even after her husband had adequately answered her questions, the patient repeatedly asked questions like “Why am I here?” and “What is the date today?” Her husband also presented papers with writings that the patient had made during the period of the TGA episode. He had observed that she appeared agitated and cried during the early phase of the episode. 2 We report on a patient with TGA who presented with repetitive questioning as well as repetitive writing during the TGA episode.Ī 52-year-old woman visited our emergency room with her husband, who described her condition as asking repetitive questions despite repeatedly being given correct answers. 1 During a TGA episode, patients typically ask repetitive questions, and this characteristic behavior has been considered as an important diagnostic feature for TGA. TGA mainly occurs in middle-aged to elderly individuals and can last up to 24 hours. Transient global amnesia (TGA) is a syndrome involving temporary memory loss.
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