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1病例女,63岁。因“一过性记忆障碍20余d,加重2d”于2014年11月26日入院。20余d前患者于海南旅游时突然出现一过性记忆障碍,表现为不知身在何处,不知为什么要在海南,无肢体抽搐,无语言障碍,无幻觉及精神症状,症状持续数秒钟后恢复,之后症状间断发作,表现为烧水后否认自己烧水,回家后下楼倒垃圾时突然不知垃圾箱在何处,外出在熟悉地点吃饭时,突然出现陌生感,持续数秒后记忆恢复,2 d前记忆障碍加重,不能回忆刚发生事件,近记忆力内容缺失逐渐增加。既往发现高同型半管氨酸血症10余
1 case female, 63 years old. Because of “transient memory disorder more than 20 d, increased 2d ” was admitted on November 26, 2014. More than 20 days before the patient traveling in Hainan suddenly a transient memory disorder, manifested as I do not know where you are, I do not know why in Hainan, no limb twitching, no speech impairment, no hallucinations and psychiatric symptoms, the symptoms persist after a few seconds Recovery, after the onset of symptoms intermittent performance for the water after denying their own boiled water, go home downstairs after dumping trash I suddenly do not know where to go out in a familiar place to eat, a sudden strangeness, lasting memory recovery after a few seconds , 2 d before memory impairment increased, can not recall just happened, near memory loss of content gradually increased. In the past found that high homocysteine more than 10