• Jonathan E Davis and Kevin Maloy.
• Department of Emergency Medicine, Georgetown University Hospital & Washington Hospital Center, Washington, DC 20007, USA.
• J Emerg Med. 2011 Sep 1;41(3):257-60.

BackgroundTransient global amnesia is characterized by the sudden development of dense anterograde amnesia, without alteration in level of consciousness and in the absence of focal neurologic deficits or seizure activity. Various precipitating causes have been reported in the medical literature.ObjectiveTo present a literature-guided approach to the diagnosis and management of transient global amnesia in the Emergency Department (ED).Case ReportWe report the case of a 54-year-old woman who presented to the ED with an episode of acute memory loss.ConclusionsAlthough rare, transient global amnesia may present in a dramatic fashion. The occurrence of a distinct precipitating event and repetitive questioning seem to be key features in making the diagnosis. Important differential considerations include transient ischemic attack, seizure, and subarachnoid hemorrhage. Brain imaging and specialty consultation are reserved primarily for patients with unclear circumstances, altered level of consciousness, focal neurologic findings, and persistent (or very brief) amnestic symptoms. Brain imaging may, however, relieve anxiety about more dangerous causes of the event.Copyright © 2011 Elsevier Inc. All rights reserved.

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