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Transient global amnesia after radiofrequency catheter ablation of supraventricular tachycardia: a case report

机译:在射频导管烧蚀后的瞬态全球艾尼菊酯消融术后心动过速:案例报告

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摘要

Transient global amnesia (TGA) is a neurological disorder characterized by sudden onset of anterograde amnesia with or without retrograde amnesia, lasting less than 24 hours, without other clinical neurological dysfunction. TGA with short duration and benign prognosis is usually neglected in clinical practice. Transient total amnesia after radiofrequency ablation is rare and its etiology is unknown. We report a case of 27-year-old man who experienced TGA after radiofrequency catheter ablation of supraventricular tachycardia. The patient had no other cognitive and motor impairment except for memory impairment. The symptom lasted for about six hours and relieved without recurrence. Nervous system examination showed that 12 pairs of cranial nerves were normal, the muscle strength and muscle tone of the limbs were normal, physiological reflexes existed, and no pathological reflexes were elicited. Tests were performed immediately and normally including blood routine examination, liver and kidney function, electrolyte, blood glucose, thyroid function, blood coagulation function, D-dimer, myocardial injury markers, blood gas analysis and other hematological. There is no abnormality in electrocardiogram (ECG), chest X-ray, cervical vascular ultrasound, and cardiac color Doppler ultrasound examination. Head magnetic resonance examination magnetic resonance imaging (MRI) showed dots in right frontal lobe and bilateral ventricles in T2-weighted images. There was no cerebral infarction and cerebral hemorrhage. The patient received low flow oxygen inhalation and aspirin 300mg orally. The outcome of patient with TGA is benign. There are still many unsolved mysteries worthy of long-term follow-up.
机译:瞬态全球胃病(TGA)是一种神经系统疾病,其特征在于突然发作的逆行静脉曲体突然发作,持续不到24小时,没有其他临床神经功能障碍。在临床实践中通常忽略了短期和良性预后的TGA。射频消融后的瞬态总缺陷是罕见的,其病因未知。我们举报了一个27岁男子的案例,在射频导管消融术后高速公路后经历了TGA。除记忆障碍外,患者没有其他认知和电机损害。症状持续了大约六个小时,没有复发就会缓解。神经系统检查表明,12对颅神经是正常的,肌肉力量和肢体的肌肉间距是正常的,生理反应存在,并且没有引发病理反射。试验立即进行,通常包括血液常规检查,肝肾功能,电解质,血糖,甲状腺功能,血液凝固功能,D-二聚体,心肌损伤标志物,血气分析和其他血液学。心电图(ECG),胸X射线,宫颈血管超声波和心脏颜色多普勒超声检查中没有异常。头部磁共振检测磁共振成像(MRI)在T2加权图像中显示右前叶和双侧心室的点。没有脑梗塞和脑出血。患者在口服接受低流量的氧吸入和阿司匹林300mg。 TGA患者的结果是良性的。还有许多未解决的奥秘有价值长期随访。

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