Definition
Memory loss
is defined as a loss of memory resulting from brain damage (disease or trauma)
or severe emotional trauma.
Common causes
Aging, Alzheimer’s disease,
Neurodegenerative illness, Head trauma or
injury , Hysteria often accompanied by confusion
, Seizures ,General anesthetics such as
halothane, isoflurane, and fentanyl , Alcoholism
, Stroke or transient
ischemic attack (TIA)
- Transient global amnesia, Drugs such as
barbiturates or benzodiazepines
- Electro convulsive therapy (especially if
prolonged), Temporal lobe brain surgery
What to expect
The medical
history will be obtained and a physical examination performed.
The medical history may need to be obtained by asking questions of the family
and friends. Medical history questions documenting memory loss in detail may
include: Amnesia
- Type
- Can the person remember recent
events (is there impaired short-term memory)?
- Can the person remember events
from further in the past (is there impaired long-term memory)?
- Is there a loss of memory
about events that occurred prior to a specific experience (anterograde
amnesia)?
- Is there a loss of memory
about events that occurred soon after a specific experience (retrograde
amnesia)?
- Time pattern
- Has the memory loss been
getting worse over years?
- Has the memory loss been
developing over weeks or months?
- Is the memory loss present all
the time or are there distinct episodes of amnesia?
- If there are amnesia episodes,
how long do they last?
- Aggravating or triggering factors
- Has there been a head injury
in the recent past?
- Has the person experienced an
event that was emotionally traumatic?
- Has there been a surgery or
procedure requiring a general anesthetic?
- Does the person use alcohol?
How much?
- Does the person use
illegal/illicit drugs? How much? What type?
Physical
examination may include a detailed neurological examination. Recent,
intermediate, and long-term memory will be tested.
Diagnostic tests that may be performed include:
- Cerebral angiography
- CT scan or MRI of the head
- EEG
- Blood tests (for specific diseases that are
suspected)
- Psychometric tests (cognitive tests)
- Lumbar puncture