Amnestic syndrome secondary to hypoxic brain injury

Presentation

35 year old gentleman referred for assessment of rapid forgetting following heroin overdose. Unremarkable mental state and neurological examinations.

Patient Data

Age: 35
Gender: Male

Bedside cognitive testing

Modality: Diagram

Attention: 12/20

Visuoconstructional: 18/20

Memory: 7/20

Executive: 17/20

Language: 18/20

Total: 70/100

Prominent bilateral hippocampal T2 hyperintensity with restricted diffusion on DWI

Case Discussion

Unresolving amnestic syndrome associated with bilateral hippocampal lesions on acute imaging. The likely aetiology is hypoxic-ischaemic brain damage sustained in the course of heroin overdose.

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Case Information

rID: 24743
Case created: 9th Sep 2013
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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