Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 5 Issue 1

When is the Ideal Time to Perform Brain MRI in Patients with Transient Global Amnesia? Analysis of Case Series with Transient Global Amnesia from Previous Studies, based on Imaging Findings of Diffusion MRI According to Time Criteria

Georgios-Theofilos Theodorou1,2, Elisavet Psoma3*, Xanthipi Mavropoulou3, Aikaterini Terzoudi1,4 and Konstantinos Vadikolias1,4

1Postgraduate Program ‘’Stroke’’ of the Medical School of the Democritus University of Thrace, Alexandroupolis, Greece

2Laboratory of Clinical Neurophysiology, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece

3Department of Clinical Radiology, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece

4Department of Neurology, University Hospital of Alexandroupolis, Democritus University of Thrace, School of Medicine, Alexandroupolis, Greece

*Corresponding Author: Elisavet Psoma, Department of Clinical Radiology, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.

Received: November 08, 2021; Published: December 20, 2021

Abstract

Objective: To determine the role of diffusion-weighted imaging (DWI) magnetic resonance studies in diagnosis of Transient Global Amnesia in patients who fulfilled the clinical diagnostic criteria.

Methods: In this systemic review study, 214 patients from 17 previous studies, who fulfilled the clinical diagnostic criteria of transient global amnesia were analyzed, based on imaging findings of DWI MRI according to temporal criteria. PubMed was meticulously searched.

Results: DWI findings in at least one hippocampus were found in 180 of 214 patients, regardless of the time the MRI performed. This accounted for the majority, 84.1%, of all patients who met the diagnostic criteria for TGA. Hippocampal DWI lesions were more common on the left one. The percentages of positive neuroimaging findings compared to the time the episode of TGA begins and the clinical signs are apparent as follows: 84,1% in general, 26%, when the examination is performed within the first day, 71,9% in approximately 24 hours, 87,2% at 36 hours, 82,3% at 48 hours, 72,7% at 72 hours, 42,8%, when performed in the first days but after 72 hours and 0%, when performed on a remote date, indicating the transient nature of the episode.

Conclusion: According to the results of the present study, the best time to perform cranial MRI DWI seems to be between 36 to 48 hours after the initiation of the clinical semiology of transient global amnesia.

 

Keywords: DWI; MRI; Transient Global Amnesia; Hippocampus

References

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Citation

Citation: Elisavet Psoma., et al. “When is the Ideal Time to Perform Brain MRI in Patients with Transient Global Amnesia? Analysis of Case Series with Transient Global Amnesia from Previous Studies, based on Imaging Findings of Diffusion MRI According to Time Criteria". Acta Scientific Neurology 5.1 (2022): 06-10.

Copyright

Copyright: © 2022 Elisavet Psoma., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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