Journal of Neurology, Neurosurgery, and Psychiatry, 1993, Vol 56, 1227-1230

PAPERS

Neuropsychological and SPECT scan findings during and after transient global amnesia: evidence for the differential impairment of remote episodic memory

J Evans, B Wilson, EP Wraight and JR Hodges
MRC Applied Psychology Unit, Cambridge, UK.

A patient had neuropsychological testing during, and at two days and seven weeks after a transient global amnesia (TGA) attack. During the attack she exhibited a characteristically profound anterograde amnesia but a limited remote memory loss; the most striking impairment was a deficit in personal episodic memory revealed by her performance on the Autobiographical Memory Interview. Personal and general semantic information was less impaired although there were indications of a temporal gradient in the impairment. When tested after the attack, she demonstrated normal anterograde and retrograde memory. A SPECT scan performed during TGA showed a focal reduction in cerebral perfusion in the postero-medial temporal lobes bilaterally which had resolved after seven weeks.

© 1993 by Journal of Neurology, Neurosurgery, and Psychiatry

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