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Case of the Month: July 2026

Case history

  • 55-year-old patient presented with the sudden onset of anterograde amnesia lasting several hours, with no focal neurological deficit.

transient_global_amnesia_1

Click to reveal diagnosis

Transient Global Amnesia (TGA)

  • DWI showed a punctate focus of diffusion restriction in the lateral hippocampus.
  • These characteristic 1-3 mm dots are best seen 24-72 hours after symptom onset and may be absent if imaged too early.
  • Transient global amnesia is a self-limiting clinical syndrome of isolated anterograde memory loss resolving within 24 hours; the punctate hippocampal CA1 DWI lesion confirms the diagnosis and helps exclude infarct or limbic encephalitis.

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