Her vital signs at presentation were unremarkable. She was hemodynamically stable and afebrile. She was alert and oriented to her name only. She recalled 0 out of 3 objects after 1 minute.
She was able to spell “chair” backwards and do simple calculations. Language was intact and she was able to follow 3-step commands. The remainder of her neurologic exam, including fundoscopy, was unremarkable. ------------------------------------------- CBC, CMP, and urine toxicology were all within normal limits, with the exception of a mildly low potassium (3.3). ----------------------------------------- Non-contrast CT of her head was ordered and did not show any acute abnormalities. Her EEG was normal. A follow up MRI revealed small punctate lesions in the bilateral hippocampus. The patient was admitted to the medicine service and was followed by neurology. Eight hours after the initial encounter, her memory appeared to be back to baseline. --------------------------------------- She reported that her last memory prior to the event occurred at work approximately 12 hours earlier. The patient stated that she had recently been under an increased amount of stress at work. Her neurologic exam continued to be stable at this time and she remained afebrile. The following morning, the patient was discharged with a presumptive diagnosis of transient global amnesia and was counseled to follow-up in clinic with her outpatient neurologist.
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