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CASE REPORT
Simultaneous transient global amnesia and right MCA stroke after Valsalva manoeuvre
  1. Ariel Fernando Mariaca1,
  2. Jose Manuel Valdueza1,
  3. Christian Gaebel2,
  4. Manuel Gomez-Choco3
  1. 1 Neurology, Neurological Center, Segeberger Kliniken, Bad Segeberg, Germany
  2. 2 Radiology, Neurological Center, Segeberger Kliniken, Bad Segeberg, Germany
  3. 3 Department of Neurology, Hospital Sant Joan Despi Moises Broggi, Sant Joan Despi, Spain
  1. Correspondence to Dr. Manuel Gomez-Choco, mgomezch{at}csi.cat

Summary

A 61-year-old man suffered an episode of transient confusion and anterograde amnesia after a Valsalva-related manoeuvre. The MRI diffusion weighted imaging (DWI) sequences showed a left hippocampal and two right parietal lesions that were deemed as acute. The MR angiography disclosed a high-grade stenosis in the right middle cerebral artery as was described by a transcranial colour-coded ultrasound as well. Ultrasound investigation of the jugular veins showed a right jugular venous reflux after a Valsalva manoeuvre. The patient was diagnosed with transient global amnesia based on clinical grounds and the right parietal lesions were considered as silent strokes. The Valsalva manoeuvre could have played as a common trigger for both diseases.

  • Neurology
  • Stroke
  • Neuroimaging
  • Memory Disorders

https://doi.org/10.1136/bcr-2016-218990

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    Footnotes

    • Contributors JMV and AFM:

      acquisition, analysis and interpretation of data and critical review of the manuscript.

      CG: acquisition, analysis and interpretation of data.

      MGC: interpretation of data, writing and critical review of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.