Cognitive Neurology

Question 1

transient global amnesia

Answer 1

sudden, temporary episode of memory loss that cannot be attributed to a neurological condition

Question 2

which kind of memory loss occurs in TGA

Answer 2

Anterograde amnesia – can’t create new memories after the event that caused the amnesia. There is a preserved knowledge of self.

Question 3

how is the patients function in TGA

Answer 3

they are mentally alert and lucid - no other signs of cognitive impairement

Question 4

how long does TGA last

Answer 4

4-6 hours

Question 5

are there any triggers for TGA

Answer 5

can be triggered by emotions or chanages in temperature

Question 6

transient epileptic amnesia

Answer 6

a form of temporal lobe epilepsy where the seizures manifest as 15-20 min episode of memory loss - both anterograde and retrograde

Question 7

how long do episodes of transient epileptic amnesia last and how often do they occur

Answer 7

20-30 min

about once a month

Question 8

which type of epilepsy is transient epileptic amnesia associated with

Answer 8

temporal lobe

Question 9

do patients with transient epileptic amnesia typically have seizures too

Answer 9

2/3 have temporal lobe seizures

Question 10

in TGA and transient epileptic amnesia does the patient have a resrved knowledge of self?

Answer 10

they do in TGA, not in transient epileptic amnesia

Question 11

what do patient tends to forget in transient epileptic amnesia

Answer 11

topographical, accelerated long term forgetting, autobiographical amnesia

can carry out complex activity and not remember

pt may remember not being able to remember

Question 12

what is classical behaviour during attacks of transient epileptic amnesia

Answer 12

repetitive questioning

Question 13

management of transient epileptic amnesia

Answer 13

a repsonse to anti epileptic medication is seen

Question 14

functional subjective cognitive impairment

Answer 14

everyday forgetfullness impacting on function

Question 15

does functional subjective cognitive impairment impair pt on daily basis

Answer 15

often there is a mismatch between symptoms and reported functioning - eg ppl at work havent noticed

Question 16

is functional subjective cognitive impairment progressive?

Answer 16

symtoms flucctuate

may be part of a more generalsied functional disorder

Question 17

who does functional subjective cognitive impairment tend to be mroe common in

Answer 17

Seems to be more common in those with a previously good memory (people who have always been a bit absentminded tend to notice them less).

Question 18

what must be excluded on a diagnosis of functional subjective cognitive impairment

Answer 18

anxiety and depression - concentration symptoms are common