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(Stroke. 1975;6:513.)
© 1975 American Heart Association, Inc.

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Transient Global Amnesia Associated With Cardiac Arrhythmia and Digitalis Intoxication

JOHN E. GREENLEE M.D.¹; RICHARD S. CRAMPTON M.D.¹; JAMES Q. MILLER M.D.¹

¹ Departments of Neurology and Internal Medicine, University of Virginia School of Medicine Charlottesville, Virginia

Reprint requests to Dr. Miller, Box 147, University of Virginia Hospital, Charlottesville, Virginia 22901.

A 54-year-old woman with transient global amnesia (TGA) was found to have digitalisinduced bradyarrhythmia with atrioventricular dissociation. The amnesia cleared only upon resolution of the arrhythmia. Cardiac arrhythmia has been postulated as a cause, but TGA in the setting of cardiac arrhythmia has not been documented previously. Cardiac arrhythmia should be excluded in patients with TGA, and TGA, a syndrome diagnosed on clinical grounds alone, must be recognized as one possible manifestation of treatable, potentially serious cardiac or cerebrovascular disease.

Key Words: cerebrovascular disease • cerebral ischemia • vertebrobasilar arterial system • hypoperfusion • atherosclerosis

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