Transient global amnesia after epiduroscopy in a failed back surgery syndrome patient: Case report - Health

Health > Vol.5 No.11, November 2013

Transient global amnesia after epiduroscopy in a failed back surgery syndrome patient: Case report ()

HTML XML

Download as PDF (Size: 632KB) PP. 7-11

DOI: 10.4236/health.2013.511A1002 4,338 Downloads 6,037 Views Citations

Author(s)

Leonardo Consoletti, Antonella Cotoia, Gilda Cinnella, Michele Dambrosio

Affiliation(s)

Department of Anesthesiology, Critical Care and Pain Unit, University of Foggia, Foggia, Italy;.

ABSTRACT

Epiduroscopy (EDS) allows diagnosis and treatment of spinal nerve root pathology by a fiberoptic device inserted percutaneously in the epidural space. Transient global amnesia syndrome (TGA) is defined by an abrupt onset of an anterograde and retrograde amnesia that lasts up to 24 h, although mild subclinical neuropsychological deficits, with concomitant vegetative symptoms, can last for days after the episode. To our knowledge no cases of TGA in association with EDS have been recognized. We present a case of a 54-year-old man who was admitted for EDS, having experienced two times the failed surgery for spinal and left leg pain. During the EDS, 10 ml of non-ionic contrast media (CM) was injected to confirm the inside lesions. The epidural adhesions were gently broken down and drugs were injected around any inflamed nerve roots. Immediately after EDS, the patient experienced a TGA with loss of memory for the recent procedure and an impaired ability to retain new information. There were no signs of confusion or altered conscious level or seizure activities and neurological examination was normal. At 24 h a cranial computerized tomography (cCT) without CM showed “abnormal contrast enhancement at subarachnoid liquoral spaces levels”, then at 72 h cCT control was normal. The patient was discharged on the seventh day with perioperative lacunar amnesia persisting at this time. Herein, we sought a possible relationship between neurotoxic effect of CM and TGA in a patient emotionally stressed, even if the CM dose was given as a normal clinical range.

KEYWORDS

Intrathecal Injection of Radiopaque Contrast; Epiduroscopy; Failed Back Surgery Syndrome; Transient Global Amnesia; Nonionic Contrast Media

Share and Cite:

Consoletti, L. , Cotoia, A. , Cinnella, G. and Dambrosio, M. (2013) Transient global amnesia after epiduroscopy in a failed back surgery syndrome patient: Case report. Health, 5, 7-11. doi: 10.4236/health.2013.511A1002.

Journals Menu

Follow SCIRP

	+1 323-425-8868
	customer@scirp.org
	+86 18163351462(WhatsApp)
	1655362766

	Paper Publishing WeChat

Journals Menu

Home

About SCIRP

Service

Policies