Journal article
Acute Amnestic Syndrome and Ischemic Stroke A Case Series
Neurology. Clinical practice, Vol.11(3), pp.263-267
06/01/2021
DOI: 10.1212/CPJ.0000000000000928
PMCID: PMC8382350
PMID: 34484894
Abstract
Purpose of Review
Stroke is an uncommon cause of amnesia. We describe in detail 3 cases of anterograde amnesia and confabulation secondary to acute ischemic stroke and review the available literature.
Recent Findings
In our case series, all 3 patients presented with anterograde amnesia and 2 of 3 copresented with prominent confabulation. These symptoms were recognized in delayed fashion, and no patients received IV tissue plasminogen activator (tPA). Although stroke infarct topology was variable, all 3 patients had infarction of the fornix. Long-term follow-up was obtained in 2 of 3 patients: both had persistent memory impairment and were no longer functionally independent.
Summary
Acute onset anterograde amnesia and confabulation may uncommonly represent acute ischemic stroke. Delays in this diagnosis typically exclude patients from emergent stroke treatment or timely diagnostic stroke evaluation. Clinicians should maintain a high degree of suspicion for ischemic stroke in this setting, especially in patients with comorbid vascular risk factors. Memory impairment secondary to ischemic stroke can produce considerable long-term disability.
Details
- Title: Subtitle
- Acute Amnestic Syndrome and Ischemic Stroke A Case Series
- Creators
- Malik Ghannam - University of MinnesotaQasem Alshaer - University of MinnesotaHope Ukatu - University of MinnesotaMohammed Alkuwaiti - University of MinnesotaChristopher Streib - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- Neurology. Clinical practice, Vol.11(3), pp.263-267
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1212/CPJ.0000000000000928
- PMID
- 34484894
- PMCID
- PMC8382350
- ISSN
- 2163-0402
- eISSN
- 2163-0933
- Number of pages
- 5
- Language
- English
- Date published
- 06/01/2021
- Academic Unit
- Neurology
- Record Identifier
- 9984585427002771
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