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Department of Neurology (Drs. Shuping and Toole) and the Section on Neurosurgery, Department of Surgery (Dr. Alexander), Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC.
A patient with transient global amnesia (TGA) had a glioma in the dominant hippocampus. Neuroradiologic studies showed local mass effect on the posterior choroidal artery on that side. This finding suggests that unilateral involvement is sufficient to cause the syndrome despite the widely held view that bilateral lesions are essential.
Address correspondence and reprint requests to Dr. Shuping, Department of Neurology, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
Accepted for publication June 13, 1979.
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