The Glasgow Coma Scale was 15, and the Cincinnati Prehospital Stroke Scale was negative.Ĭomplete blood count (CBC), complete metabolic panel (CMP), thyroid-stimulating hormone (TSH), lipid panel, polymerase chain reaction (PCR) test for coronavirus disease 2019 (COVID-19), and serum and urine toxicology screens were all unremarkable at the time of admission. The patient was treated empirically with aspirin 81 mg daily, clopidogrel 75 mg daily, and atorvastatin 80 mg daily for secondary stroke prevention. Four hours following the event, a non-contrast computed tomography (CT) scan was performed and showed no signs of any intracranial pathology. The patient was conscious, coherent, and alert, with a normal cranial nerve examination, gait, sensation, and motor strength throughout all four extremities. The patient's vital signs during the ED physical examination showed blood pressure of 173/95 mmHg, heart rate of 93 beats per minute, body temperature of 99.1☏, respiratory rate of 18 breaths per minute, and oxygen saturation of 99% on room air. He denied any history of smoking, alcohol, or recreational drug use. He did not have any previous medical conditions, and he was not taking any medications. ![]() ![]() There was no evidence of facial asymmetry or unilateral weakness, and the level of blood glucose was found to be 114 mg/dL. After the initial assessment in the emergency department, the patient was unable to identify the current date, president, or his address. Additionally, there was no prior history of traumatic brain damage, stroke, dementia, seizures, psychiatric disease, or other incidents resembling this event. There was no head injury, weakness in any of the limbs, changes in vision, chest pain, shortness of breath, vomiting, or any other physical complaints. She did not observe the patient having any loss or alteration of consciousness. The wife stated that he complained of a headache after they had sexual intercourse at 12:15 am, and then she noticed that he was confused. He presented to the emergency department (ED) at 3:00 am accompanied by his wife who acted as his primary historian. ![]() He last remembered being at a convenience store in Baltimore and next remembered being at his home in New York. He had driven from North Carolina to New York the day before, but he had forgotten part of the journey. We present this rare case of transient global amnesia (TGA), highlighting sexual intercourse as a probable triggering component of the disease and demonstrating how crucial it is to rule out other severely morbid conditions before managing TGA.Ī 52-year-old man presented with the complaint of memory loss and confusion, which started at 1:00 am when he was planning to go to bed. A diagnosis of transient global amnesia was made after other causes were ruled out. In addition, T1-weighted and T2-weighted magnetic resonance imaging (MRI) was performed 13 hours following the incident and demonstrated punctate focus of restricted diffusion in the medial right temporal lobe in the region of the hippocampus. Four hours following the event, a non-contrast computed tomography (CT) scan was performed and showed no signs of any intracranial pathology. Before this, the patient had no previous medical history. In this case report, we present a case of a 52-year-old man who came to our hospital experiencing sudden-onset confusion and memory loss an hour after engaging in sexual activity with his wife. ![]() Transient global amnesia (TGA) is described as a sudden onset of anterograde and retrograde amnesia.
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