[Isolated retrograde amnesia following viral encephalitis].
We describe a patient who presented with isolated retrograde amnesia of 2-year duration after recovery from viral encephalitis. The patient was a 29-year-old right-handed male dentist and was admitted to our hospital with a complaint of generalized convulsion. Cerebrospinal fluid (CSF) showed mononuclear pleocytosis. Neuroradiological examinations (X-ray CT, MRI and 123I-IMP SPECT) revealed no significant abnormality. Immunological method showed no specific increase of viral antibody titers. However, with a tentative diagnosis of viral encephalitis, administration of acyclovir was started. After 3 weeks he became comprehensive, and several kinds of neuropsychological tests were performed. His intelligence and immediate memory were normal, and his procedural memory of dentist was intact. On the other hand, he could not recall any information about events, both personal and public, occurred within 2 years before the onset of present illness. His autobiographical memory disorder was also demonstrated using a series of weekly comic. In isolated retrograde amnesia following viral encephalitis like this case, memory of relatively short time duration, acquired prior to the onset of present illness, tend to be disturbed.
Ishihara
K
K
Department of Neurology, Showa University School of Medicine.
Ichikawa
H
H
Takeuchi
T
T
Kawamura
M
M
Sugita
K
K
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D000648:Amnesia, Retrograde / Q000209:etiology*; D000998:Antiviral Agents / Q000627:therapeutic use; D018792:Encephalitis, Viral / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D013997:Time Factors
D000998:Antiviral Agents; D000212:Acyclovir