nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2-89-92nnp-1106Research ArticleCLINICAL OBSERVATIONSКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯEmotional stress-induced transient global amnesia with bilateral hippocampal ischemic lesionТранзиторная глобальная амнезия с двусторонним ишемическим поражением гиппокампа, вызванная эмоциональным стрессомПерковичP.PerkovicR.

Романа Перкович

Отделение неврологии

31000 Osijek, J. Huttlera 4, Croatia

Romana Perkovic

Department of Neurology 

4, J. Huttlera, Osijek 31000, Croatia

romana.per@gmail.comБульянK.BuljanK.

Отделение неврологии

31000 Osijek, J. Huttlera 4, Croatia

Department of Neurology 

4, J. Huttlera, Osijek 31000, Croatia

ВладетичМ.VladeticM.

Отделение неврологии

31000 Osijek, J. Huttlera 4, Croatia

Department of Neurology 

4, J. Huttlera, Osijek 31000, Croatia

КатичФ.KaticF.

Отделение радиологии

31000 Osijek, J. Huttlera 4, Croatia

Department of Radiology

4, J. Huttlera, Osijek 31000, Croatia

МишевичС.MisevicS.

Отделение неврологии

31000 Osijek, J. Huttlera 4, Croatia

Department of Neurology 

4, J. Huttlera, Osijek 31000, Croatia

Буткович СолдоС.Butkovic SoldoS.

Отделение неврологии

31000 Osijek, J. Huttlera 4, Croatia

Department of Neurology 

4, J. Huttlera, Osijek 31000, Croatia

Медицинского центра Университета им. Йосипа Юрая ШтроссмайераХорватияJosip Juraj Strossmayer University Medical CenterCroatia2019160620191128992Copyright © Perkovic R., Buljan K., Vladetic M., Katic F., Misevic S., Butkovic Soldo S., 20192019Перкович P., Бульян K., Владетич М., Катич Ф., Мишевич С., Буткович Солдо С.Perkovic R., Buljan K., Vladetic M., Katic F., Misevic S., Butkovic Soldo S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1106

The paper describes a clinical case of transient global amnesia (TGA) in a male patient who has experienced prolonged stress at work and at home. The middle-aged man was admitted to hospital disoriented, constantly repeating the same questions. The patient did not remember what had happened that morning before his admission to the hospital. Brain magnetic resonance imaging revealed bilateral punctate hippocampal DWI hyperintensity. The patient has not been observed to have risk factors for cerebrovascular events. Neuropsychological examination has shown that the patient does not have adequate strategies to cope with the sequels of long-term intense stress accompanied with emotion suppression. The described case confirms that psychological instability may be one of the precipitating factors for TGA.

Представлен клинический случай транзиторной глобальной амнезии (ТГА) у пациента, испытывавшего продолжительный стресс на работе и дома. Мужчина средних лет был госпитализирован в состоянии дезориентации, при этом он постоянно повторял одни и те же вопросы. Пациент не помнил, что случилось утром, до того как он попал в больницу. При магнитнорезонансной томографии головного мозга выявлены точечные очаги гиперинтенсивности в гиппокампе с обеих сторон. Факторов риска цереброваскулярных событий у пациента не отмечалось. Нейропсихологическое обследование показало, что пациент не обладает адекватными стратегиями, чтобы справляться с последствиями длительного интенсивного стресса, сопровождавшегося подавлением эмоций. Описанный случай подтверждает, что психологическая нестабильность может являться одним из факторов, провоцирующих ТГА.

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The authors declare that there are no conflicts of interest present.