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Transient global amnesia in a patient with high and persistent levels of antiphospholipid antibodies
Norberto Ortego-Centeno1, José Luis Callejas-Rubio, Miguel Guerrero Fernández
1Unidad de Enfermedades Autoinmunes Sistémicas, Hospital Clínico San Cecilio, Dr. Oloriz s/n, 18012 Granada, Spain. nortego@telefonica.net
Insights
Antiphospholipid antibodies, including anticardiolipin antibodies (ACA) and lupus anticoagulant (LA), may be linked to transient global amnesia (TGA). Further research is needed to understand this association and its implications for antiphospholipid syndrome patients.
Area of Science:
- Neurology
- Immunology
Background:
- Antiphospholipid syndrome (APS) is associated with cerebrovascular events like ischemic stroke, often linked to anticardiolipin antibodies (ACA) and lupus anticoagulant (LA).
- The precise relationship between these antibodies and various neurological disorders in APS patients remains unclear.
- Transient global amnesia (TGA) is a neurological disturbance characterized by temporary memory loss, with an unknown pathophysiology.
Observation:
- This report details a case of TGA in a patient with persistently high levels of ACA and LA.
- The patient experienced a sudden inability to form new memories, typical of TGA.
Findings:
- The study suggests a potential association between TGA and the presence of ACA and LA.
- A higher prevalence of TGA may exist in patients with antiphospholipid syndrome compared to the general population.
Implications:
- Investigating ACA and LA in TGA patients could reveal new insights into the pathogenesis of neurological diseases associated with antiphospholipid antibodies.
- This finding may prompt further research into the role of antiphospholipid antibodies in non-stroke neurological manifestations of APS.
Abstract:
Cerebrovascular disease is one of the most common symptoms associated with anticardiolipin antibodies (ACA) and lupus anticoagulant (LA), usually in the form of ischemic stroke. However, many other neurologic disorders have been described in patients with antiphospholipid syndrome or ACA. So far, the precise relation between the presence of antibodies and the development of the disease in many of these cases remain unknown. Transient global amnesia (TGA) is an infrequent neurologic disturbance whose precise pathophysiology is not known. It is characterized by a sudden inability to acquire new information, usually lasting no more than 12 h, and it is not accompanied by any other focal neurological signs or symptoms. We report a patient with TGA with persistent and high levels of ACA and LA and suggest that in patients with TGA, investigation of the possible presence of ACA and/or LA may be warranted because a higher prevalence of TGA in the patients with antiphospholipidic syndrome with respect to the general population may lead to further insights into pathogenesis of neurologic disease associated with antiphospholipidic antibodies.
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