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Hippocampal infarction
  1. Yuhei Uriu,
  2. Akira Kuriyama
  1. Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Japan
  1. Correspondence to Dr Akira Kuriyama, Emergency and Critical Care Center, Kurashiki Central Hospital, 1-1-1 Kurashiki 710-8602, Japan; ak13568{at}kchnet.or.jp

http://dx.doi.org/10.1136/postgradmedj-2019-137114

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    An 85-year-old man presented with acute confusion. He had chronic atrial fibrillation but was not taking anticoagulants. He was disoriented and had no recollection of the past 2 days. He had no history of physical or emotional stress, recent head trauma or seizures. On examination, he was disoriented to time, scored 14 on the Glasgow Coma Scale (E4, V4 and M6) and lacked focal neurological deficits. Serum glucose levels, electrolytes and …

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    Footnotes

    • Contributors YU and AK looked after the patient, wrote and critically revised the manuscript, and approved the submission of the current manuscript. AK served as the guarantor for this article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.