A Case of “Spotty” Transient Global Amnesia
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Abstract:
A case of transient global amnesia occurring after sexual intercourse is presented with a somewhat unusual symptomatology. Instead of an all-encompassing amnesia, as has usually been reported in the literature, the patient’s amnesia was evident in spots. Therefore, transient global amnesia after sexual relations may go unnoticed in patients if the amnesia is temporary, as is usually the case, and is restricted to a few memories.Keywords:
Transient global amnesia
A case of transient global amnesia occurring after sexual intercourse is presented with a somewhat unusual symptomatology. Instead of an all-encompassing amnesia, as has usually been reported in the literature, the patient’s amnesia was evident in spots. Therefore, transient global amnesia after sexual relations may go unnoticed in patients if the amnesia is temporary, as is usually the case, and is restricted to a few memories.
Transient global amnesia
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Acute-onset amnesia is a dramatic neurological presentation that can cause considerable concern to both patient and clinician. The patient typically presents with an inability not only to retain new memories but also to access previously acquired memories, suggesting disturbance of hippocampal function. Transient global amnesia (TGA) is the most common cause of acute-onset amnesia, and is characterised by a profound anterograde and retrograde amnesia that typically lasts for up to 24 hours. Although TGA has a strikingly stereotypical presentation, it can be challenging to distinguish from other causes of acute-onset amnesia, including posterior circulation strokes, transient epileptic amnesia, psychogenic amnesia, post-traumatic amnesia, and toxic/drug-related amnesia. Here, we describe the general approach to the patient with acute amnesia; summarise the clinical and neuropsychological differences between the potential causes; and, provide practical recommendations to aid diagnosis and management of acute amnesia. Regardless of cause and the dramatic presentation, non-ischaemic acute-onset amnesia generally has a favourable prognosis.
Transient global amnesia
Anterograde amnesia
Retrograde amnesia
Memory disorder
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Transient global amnesia is a clinically well defined syndrome, characterized by transient isolated epizodes of confusion with inability to acquire new data, repetitive quieries, retrograde amnesia and absence of other neurologic symptoms or signs. Eighteen patients who presented at admission the clinical picture of transient global amnesia were, after the examination, classified in three groups: patients with symptoms or signs of transitory focal ischemia, migraine group, and miscellaneous group. The transitory global amnesia in patients suffering from atherosclerotic changes of the vascular system is usually the first manifestation of transitory ischaemic attack pointing to the vascular insufficiency of the posterior cerebral regions as the cause of attack. The typical transient global amnesia is not a rare phenomenon, but it supposes the existence of the precipitating factors. Although its "pure" form is usually benign, the appearance of other factors such as cerebral neoplasms, involved in the aetiology of transient global amnesia, requires the complete clinical examination of each individual with these symptoms.
Transient global amnesia
Etiology
Retrograde amnesia
Confusion
Anterograde amnesia
Memory disorder
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PreviewTransient global amnesia is a brief, temporary neurologic condition in which memory impairment is the prominent deficit. It has a benign course and usually requires no treatment. Recognition of its unique characteristics is the key to proper diagnosis and is important so the patient is spared unnecessary evaluation. Dr Kritchevsky provides a clear clinical picture of the patient with this condition and also discusses other causes of temporary memory dysfunction.
Transient global amnesia
Retrograde amnesia
Transient (computer programming)
Anterograde amnesia
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Transient global amnesia
Pathogenesis
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Transient global amnesia
Confusion
Transient (computer programming)
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Abstract: In most reports, Transient Global Amnesia (TGA) consisted of a single episode of total amnesia. The detailed investigation on the process of recovery from amnesia in the present two cases of TGA indicated the existence of a complex episode of TGA which consisted of a sequence of episodes of total amnesia.
Transient global amnesia
Transient (computer programming)
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Transient global amnesia is a well known syndrome, characterised by sudden loss of short term memory with retrospective amnesia, that appears in otherwise good healthy subjects. Transient global amnesia is often unknown and misunderstood. Authors explain pathogenetic hypothesis and diagnostic criteria, showing some clinical cases.
Transient global amnesia
Transient (computer programming)
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ABSTRACT
Ribosomal protein synthesis (translation) is a highly accurate process. Translation termination, in particular, must be accurate to prevent truncated proteins. How this accuracy is achieved is not fully understood in all its details. Using an E. coli in vitro system, I explore novel mechanisms that contribute to the high accuracy of translation termination. By comparing the Michaelis-Menten parameters of methylated and non-methylated release factors on cognate and non-cognate codons. Post-translational methylation of a strictly conserved GGQ motif in class I release factors increases the accuracy of termination by up to 5-fold. This happens by increasing both the maximum rate of peptide release (kcat) and Michaelis-Menten constant (KM). Further, I demonstrate here that a non-methylated release factor acts like an uncompetitive inhibitor of enzyme reactions. Overall, this study shows that the methylation of class I release factors is a novel mechanism contributing to highly accurate translation termination.Abbreviations
RF: release factor RC: release complexTransient global amnesia
Anterograde amnesia
Retrograde amnesia
Memory disorder
Memory Impairment
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In the course of transient global amnesia, two patients showed symptoms of transient partial amnesia. Close observation showed that at some time during the episode the patients had some degree of nonverbal memory, which recovered earlier than verbal memory. Careful observation of the progression of symptoms during an episode of transient global amnesia may often reveal symptoms of transient partial amnesia.
Transient global amnesia
Transient (computer programming)
Memory disorder
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