[58M] Experiencing episodes of memory loss and altered consciousness

Patient Description

A 58-year-old male reports having episodes of memory loss lasting from a few minutes to an hour, occurring daily. During these episodes, the patient appears to be awake but does not remember his actions or speech, which is often slurred. The patient's wife has observed that he stares and exhibits facial movements, and he describes a sensation similar to having 'spider webs' on his face as he recovers from these episodes. He also experiences head pains, weakness, and feels cold post-episodes. The patient has a history of a seizure in 2020 and was on seizure medication until recently discontinued by his doctor, who believes the current episodes are not seizure-related. The patient's daily life is significantly affected, as he can no longer drive and limits his outings. No family history of neurological conditions is reported, and no other symptoms such as muscle twitching or incontinence were noted. The patient also reports persistent tiredness.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Transient Global Amnesia (TGA): This condition is characterized by sudden, temporary episodes of memory loss you can't later recall. During an episode of TGA, your recall of recent events simply vanishes, so you can't remember where you are or how you got there. However, you remember who you are, and recognize the people you know well. But even this information can be forgotten as the episode progresses.

    • There's no specific treatment for TGA. The condition usually improves over several hours. TGA is a rare condition, so it's likely to be considered only after other possible causes of amnesia have been ruled out.
  • Complex Partial Seizures: These seizures alter a person’s consciousness, causing them to lose awareness and make them unable to interact with others. They may not be able to respond to directions or answer questions. Symptoms can include staring and repetitive movements, and they usually last between 1 and 2 minutes.

    • Treatment typically involves medication to control seizures. In some cases, surgery may be recommended if medication isn't effective.
  • Dissociative Amnesia: This is a type of amnesia that causes you to forget personal information and experiences. This condition is often triggered by a stressful or traumatic event.

    • Treatment can involve psychotherapy, cognitive therapy, medication, family therapy, creative therapies (such as art therapy and music therapy), and clinical hypnosis.

Please note that these are potential explanations based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Keep a journal: Write down when these episodes occur, how long they last, any noticeable triggers, and any other symptoms you experience. This can help your healthcare provider identify patterns and make a diagnosis.

  2. Stay safe: If you feel an episode coming on, sit down if possible to avoid falling and injuring yourself.

  3. Follow your doctor's advice: Continue to follow your neurologist's advice and take your prescribed medications.

What you should look out for

  1. Worsening symptoms: If your episodes become more frequent or severe, seek medical attention immediately.

  2. New symptoms: If you experience new symptoms such as severe headaches, sudden loss of vision, difficulty speaking, or weakness on one side of your body, seek medical attention immediately.

  3. Changes in behavior or mood: If you or your loved ones notice changes in your behavior or mood, consult with your healthcare provider.

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of Transient Global Amnesia (TGA)?

Common symptoms of Transient Global Amnesia include sudden, temporary memory loss, confusion about recent events, and inability to recall where you are or how you got there. The person usually retains their identity and recognizes familiar people.


How are complex partial seizures different from other types of seizures?

Complex partial seizures involve altered consciousness and awareness, often leading to staring, repetitive movements, and inability to respond to others. They differ from other seizures in that they primarily affect awareness and can last 1 to 2 minutes.


What are the potential triggers for dissociative amnesia?

Dissociative amnesia can be triggered by stressful or traumatic events, such as accidents, abuse, or extreme stress. It involves forgetting personal information and experiences, often as a coping mechanism.


What steps can be taken to manage memory loss episodes effectively?

To manage memory loss episodes, keeping a detailed journal of episodes, following medical advice, ensuring safety during episodes, and seeking medical attention for worsening or new symptoms are important steps.


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