Hippocampal stroke: clinical features

Evidence-based neurology checklist on hippocampal stroke: clinical features: Cognitive impairments Verbal memory impairment: with left-sided strokes Non-verbal memory impairment: with right-sided strokes Difficulty retrieving specific autobiographical events Difficulty retrieving recent memory…

Cognitive impairments

  • Verbal memory impairment: with left-sided strokes
  • Non-verbal memory impairment: with right-sided strokes
  • Difficulty retrieving specific autobiographical events
  • Difficulty retrieving recent memory
  • Impaired verbal and visual task learning

Emotional symptoms

Hippocampal dementia

Other symptoms

Unilateral v bilateral hippocampal stroke

Associated extra-hippocampal features

Differential diagnosis

Magnetic resonance imaging (MRI) brain: DWI lesion patterns

Other investigations

References

  1. Szabo K, Förster A, Jäger T, et al. Hippocampal lesion patterns in acute posterior cerebral artery stroke: clinical and MRI findings. Stroke 2009; 40:2042-2045. 
  2. Kumral E, Deveci EE, Erdoğan C, Enüstün C. Isolated hippocampal infarcts: vascular and neuropsychological findings. J Neurol Sci 2015; 356:83-89.
  3. Kumral E, Zirek O. Major neurocognitive disorder followıng isolated hippocampal ischemıc lesions. J Neurol Sci 2017; 372:496-500. 
  4. Kostić S, Pasovski V, Krsmanović Z, et al. Bilateral hippocampal infarction and amnesia: a case report. Vojnosanit Pregl 2015; 72:545-551.
  5. Förster A, Griebe M, Gass A, Kern R, Hennerici MG, Szabo K. Diffusion-weighted imaging for the differential diagnosis of disorders affecting the hippocampus. Cerebrovasc Dis 2012; 33:104-115. 
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