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A 48-year-old man with no significant cardiovascular risk factors developed 3 h of severe anterograde and mild retrograde amnesia, repeatedly asking ‘Is this my coat?’ on emerging shivering from the (cold) English Channel. No other focal neurological symptoms were seen and by the time he reached the emergency department, he had fully recovered, had a normal neurological examination and did not recall the event. He had a past history of gout …
Contributors AJSW was responsible for the clinical consultation and preparation of the manuscript and figures. PMR supervised the clinical management and was responsible for preparation of the manuscript.
Competing interests ASJW is in receipt of an Medical Research Council clinical research training fellowship. PMR is in receipt of a National Institute for Health Research senior investigator award.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.