J Korean Neurol Assoc.  2016 Nov;34(5):360-362. 10.17340/jkna.2016.4.13.

Hippocampal Hyperintensities on Diffusion-Weighted MRI without Transient Global Amnesia

Affiliations
  • 1Department of Neurology, Konkuk University School of Medicine, Seoul, Korea. hykimmd@gmail.com
  • 2Department of Radiology, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Dot-like hippocampal hyperintensities on diffusion-weighted magnetic resonance imaging (MRI) have been reported as an interesting imaging finding of transient global amnesia (TGA). We report three patients with such dot-like hippocampal hyperintensities who did not present with anterograde amnesia. Episodes associated with the Valsalva maneuver such as nausea or vomiting might have produced the dot-like hippocampal hyperintensities in these patients. However, depending on the individual susceptibility to hippocampal lesions, clinical symptoms of TGA might not be present even when hippocampal lesions are present.

Keyword

Transient global amnesia; Diffusion-weighted MRI; Hippocampus

MeSH Terms

Amnesia, Anterograde
Amnesia, Transient Global*
Hippocampus
Humans
Magnetic Resonance Imaging*
Nausea
Valsalva Maneuver
Vomiting
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