Ischemic Amnesia Caused by Bilateral Fornix Infarction: A Rare Entity

Annals of Indian Academy of Neurology ¦ Volume 22 ¦ Issue 3 ¦ July-September 2019 333 to low-CSF pressure. Previous reports have suggested that the mechanism of frontal lobe dysfunction due to low-CSF pressure could be explained by brain sagging and anatomic distortion.[4,5] In this case, we did not find any clue of intracranial hypotension on the patient’s brain MRI, such as pachymeningeal thickening and sagging brainstem. However, considering the symptom onset, the course of recovery, and the result of the neuropsychological test, we assume that her symptom of psychomotor slowing suggesting frontal lobe dysfunction was closely related to the choroid plexus infarction. Further studies with more cases are needed to understand its underlying mechanism. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

[1]  A. Cagnin,et al.  Acute amnestic syndrome in isolated bilateral fornix stroke , 2018, European journal of neurology.

[2]  Q. Zhu,et al.  Acute amnesia associated with damaged fiber tracts following anterior fornix infarction , 2018, Neurology.

[3]  M. Rizzo,et al.  Atypical Presentations of Intracranial Hypotension: Comparison with Classic Spontaneous Intracranial Hypotension , 2016, American Journal of Neuroradiology.

[4]  A. Mamourian,et al.  Infarction of the choroid plexus in basilar artery occlusion , 2015, Journal of Neurological Sciences.

[5]  M. Rutgers,et al.  Bilateral anterior fornix infarction: the “amnestic syndrome of the subcallosal artery” , 2015, Acta Neurologica Belgica.

[6]  Y. Kuroiwa,et al.  Vertebral Artery Dissection Leading to Fornix Infarction: A Case Report. , 2015, Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.

[7]  Veena Sheshadri,et al.  Rare complication of anterior communicating artery aneurysm coiling: Transient retrograde amnesia , 2015, The neuroradiology journal.

[8]  R. Dineen,et al.  The fornix in health and disease: an imaging review. , 2011, Radiographics : a review publication of the Radiological Society of North America, Inc.

[9]  L. Walker,et al.  Spontaneous Intracranial Hypotension Masquerading as Frontotemporal Dementia , 2008, The Clinical neuropsychologist.

[10]  D. Ducreux,et al.  Pure and acute Korsakoff syndrome due to a bilateral anterior fornix infarction: a diffusion tensor tractography study. , 2008, Archives of neurology.

[11]  N. Rollins,et al.  Choroid plexus infarction in a child. , 2007, Pediatric neurology.

[12]  D. Liebeskind,et al.  Infarction of the choroid plexus. , 2004, AJNR. American journal of neuroradiology.

[13]  L. Gutmann,et al.  Amnesia due to fornix infarction. , 2000, Stroke.