Transient global amnesia: current perspectives

David R Spiegel, Justin Smith, Ryan R Wade, Nithya Cherukuru, Aneel Ursani, Yuliya Dobruskina, Taylor Crist, Robert F Busch, Rahim M Dhanani, Nicholas Dreyer Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk, VA, USA Abstract: Transient global amnesia (TGA)...

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Autores principales: Spiegel DR, Smith J, Wade RR, Cherukuru N, Ursani A, Dobruskina Y, Crist T, Busch RF, Dhanani RM, Dreyer N
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/8f1373e56e85444d872fa8f127ececb5
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spelling oai:doaj.org-article:8f1373e56e85444d872fa8f127ececb52021-12-02T01:22:30ZTransient global amnesia: current perspectives1178-2021https://doaj.org/article/8f1373e56e85444d872fa8f127ececb52017-10-01T00:00:00Zhttps://www.dovepress.com/transient-global-amnesia-current-perspectives-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021David R Spiegel, Justin Smith, Ryan R Wade, Nithya Cherukuru, Aneel Ursani, Yuliya Dobruskina, Taylor Crist, Robert F Busch, Rahim M Dhanani, Nicholas Dreyer Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk, VA, USA Abstract: Transient global amnesia (TGA) is a clinical syndrome characterized by the sudden onset of an extraordinarily large reduction of anterograde and a somewhat milder reduction of retrograde episodic long-term memory. Additionally, executive functions are described as diminished. Although it is suggested that various factors, such as migraine, focal ischemia, venous flow abnormalities, and epileptic phenomena, are involved in the pathophysiology and differential diagnosis of TGA, the factors triggering the emergence of these lesions are still elusive. Recent data suggest that the vulnerability of CA1 neurons to metabolic stress plays a pivotal part in the pathophysiological cascade, leading to an impairment of hippocampal function during TGA. In this review, we discuss clinical aspects, new imaging findings, and recent clinical–epidemiological data with regard to the phenotype, functional anatomy, and putative cellular mechanisms of TGA. Keywords: transient global amnesia, vascular, migraines, psychiatricSpiegel DRSmith JWade RRCherukuru NUrsani ADobruskina YCrist TBusch RFDhanani RMDreyer NDove Medical PressarticleTransient Global AmnesiaVascularMigrainesPsychiatricNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2691-2703 (2017)
institution DOAJ
collection DOAJ
language EN
topic Transient Global Amnesia
Vascular
Migraines
Psychiatric
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Transient Global Amnesia
Vascular
Migraines
Psychiatric
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Spiegel DR
Smith J
Wade RR
Cherukuru N
Ursani A
Dobruskina Y
Crist T
Busch RF
Dhanani RM
Dreyer N
Transient global amnesia: current perspectives
description David R Spiegel, Justin Smith, Ryan R Wade, Nithya Cherukuru, Aneel Ursani, Yuliya Dobruskina, Taylor Crist, Robert F Busch, Rahim M Dhanani, Nicholas Dreyer Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk, VA, USA Abstract: Transient global amnesia (TGA) is a clinical syndrome characterized by the sudden onset of an extraordinarily large reduction of anterograde and a somewhat milder reduction of retrograde episodic long-term memory. Additionally, executive functions are described as diminished. Although it is suggested that various factors, such as migraine, focal ischemia, venous flow abnormalities, and epileptic phenomena, are involved in the pathophysiology and differential diagnosis of TGA, the factors triggering the emergence of these lesions are still elusive. Recent data suggest that the vulnerability of CA1 neurons to metabolic stress plays a pivotal part in the pathophysiological cascade, leading to an impairment of hippocampal function during TGA. In this review, we discuss clinical aspects, new imaging findings, and recent clinical–epidemiological data with regard to the phenotype, functional anatomy, and putative cellular mechanisms of TGA. Keywords: transient global amnesia, vascular, migraines, psychiatric
format article
author Spiegel DR
Smith J
Wade RR
Cherukuru N
Ursani A
Dobruskina Y
Crist T
Busch RF
Dhanani RM
Dreyer N
author_facet Spiegel DR
Smith J
Wade RR
Cherukuru N
Ursani A
Dobruskina Y
Crist T
Busch RF
Dhanani RM
Dreyer N
author_sort Spiegel DR
title Transient global amnesia: current perspectives
title_short Transient global amnesia: current perspectives
title_full Transient global amnesia: current perspectives
title_fullStr Transient global amnesia: current perspectives
title_full_unstemmed Transient global amnesia: current perspectives
title_sort transient global amnesia: current perspectives
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/8f1373e56e85444d872fa8f127ececb5
work_keys_str_mv AT spiegeldr transientglobalamnesiacurrentperspectives
AT smithj transientglobalamnesiacurrentperspectives
AT waderr transientglobalamnesiacurrentperspectives
AT cherukurun transientglobalamnesiacurrentperspectives
AT ursania transientglobalamnesiacurrentperspectives
AT dobruskinay transientglobalamnesiacurrentperspectives
AT cristt transientglobalamnesiacurrentperspectives
AT buschrf transientglobalamnesiacurrentperspectives
AT dhananirm transientglobalamnesiacurrentperspectives
AT dreyern transientglobalamnesiacurrentperspectives
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