The Differences Between TGA,
TEA, and TIA***
by Richard Holl, TGA Patient 1/3/18
This article was put together to put the above three medical events into one easy to read document.
TGA = Transient Global Amnesia
TEA = Transient Epileptic Amnesia
TIA = Transient Ischemic Attack or mini-stroke
Medical definitions are located in our Medical Glossary Section. All three of these events need to be diagnosed by your medical team. Our information is intended to assist you when you return home from an medical appointment to further increase your understanding of your particular condition and/or terminology used by your medical team.
Two medical articles were referenced in the writing of this TGA Tymes January Featured Story. Dr. Spiegel's article published this past October 24, 2017 titled "Transient Global Amnesia: Current Perspectives" is an excellent article to read to increase your TGA/TEA/TIA knowledge. Dr. Arena's article written in 2015 is also very informative and has a more involved chart with MRI and EEG brain scan medical terminology. Many other interesting articles are referenced in our Library's Reference Files Section.
The next paragraph is in yellow font and is placed twice in this article due to its importance. Always seek proper medical attention as the Internet is an awesome tool but is not a substitute for medical care provided by your primary doctor, Emergency Room Physician, or your medical team of specialists.
***As always - seek medical attention and medical advice from your medical team, call 911, or go to closest Emergency Room at your local hospital. Our articles are only to supplement your medical information and help to understand terminology provided by your medical team.***
At the writing of this article, these two medical articles were very beneficial:
A very current article published this past October is located at this link: https://www.dovepress.com/transient-global-amnesia-current-perspectives-peer-reviewed-fulltext-article-NDT
The following Chart of Differences Between TGA, TEA, & TIA was designed for this article with Information retrieved from Dr. Julieta Arena. Mayo Clinic Proceedings. Feb 2015, Vol 90, Issue 2, Pages 264-272, Table 2.
http://www.mayoclinicproceedings.org/article/S0025-6196(14)01077-5/fulltext
Transient Epileptic Amnesia
TEA
Transient Ischemic Attack
(Common Name:
Mini-Stroke)
TIA
Often upon waking
or no trigger
No Common
Triggers
Less than 60
Minutes
Minutes up to
Permanent
Impairment
None,
Oral Automatisms,
Olfactory or Gustatory
Hallucinations
Many
Possibilities
Low
High
Yes
No
Typical Duration
Neurologic Symptoms
Recurrence
Response to
Anticonvulsants
4 to 24 hours
None
Low
No
TGA
Transient Global Amnesia
Common Triggers
Emotional Stress,
Immersion in hot or cold water,
Sexual Intercourse,
Valsalva Maneuver,
or Intense Pain
Information retrieved from Dr. Julieta Arena. Mayo Clinic Proceedings.
Feb 2015, Vol 90, Issue 2, Pages 264-272, Table 2. (see link below)
TEA = Transient Epileptic Amnesia = A person experiencing a TEA episode has very little short-term memory, so that there is profound difficulty remembering events in the past few minutes (anterograde amnesia), or of events in the hours prior to the onset of the attack, and even memories of important events in recent years may not be accessible during the amnestic event (retrograde amnesia). Some people report short-lived retrograde amnesia so deep that they do not recognize their home or family members, though personal identity is preserved. The amnestic attack has a sudden onset. Three-fourths of cases are reported upon awakening. In attacks that begin when an individual is fully alert, olfactory hallucinations or a "strange taste" or nausea have been reported. Somewhat less than half the cases include olfactory or gustatory hallucinations, and slightly more than a third involve motor automatisms. A quarter of attacks involve a brief period of unresponsiveness. Frequently, however, there is no warning. During the attack the person's cognitive functions are not generally impaired; perception, communication, attention are normal for most of the duration of the event. In half the cases reported, behavior includes repetitive questioning to attempt to orient experience as the brain fails to lay down new memories or recall a range of recent experiences.
TGA = Transient Global Amnesia = a neurological disorder whose key defining characteristic is a temporary but almost total disruption of short-term memory. TGA has been a well-described phenomenon for more than 40 years. Clinically, it manifests with a paroxysmal, transient loss of memory function. Immediate recall ability is preserved, as is remote memory; however, patients experience striking loss of memory for recent events and an impaired ability to retain new information. In some cases, the degree of retrograde memory loss is mild. Many patients are anxious or agitated and may repeatedly ask questions concerning transpiring events. Upon mental status examination, language function is preserved, which indicates a preservation of semantic and syntax memory. Attention is spared, visual-spatial skills are intact, and social skills are retained. Symptoms typically last less than 24 hours. As the syndrome resolves, the amnesia improves, but the patient may be left with a distinct lapse of recollection for events during the attack. Generally, TGA is a solitary event, however, patients can experience more than one event with very similar symptoms and recovery.
TIA = Transient Ischemic Attack = is like a stroke, producing similar symptoms, but usually lasting only a few minutes and causing no permanent damage. Often called a mini-stroke, a transient ischemic attack may be a warning. About 1 in 3 people who have a transient ischemic attack will eventually have a stroke, with about half occurring within a year after the transient ischemic attack. A transient ischemic attack can serve as both a warning and an opportunity — a warning of an impending stroke and an opportunity to take steps to prevent it. Transient ischemic attacks usually last a few minutes. Most signs and symptoms disappear within an hour. The signs and symptoms of a TIA resemble those found early in a stroke and may include sudden onset of:
· Numbness or paralysis in your face, arm or leg, typically on one side of
your body
· Slurred or garbled speech or difficulty understanding others
· Blindness in one or both eyes or double vision
· Dizziness or loss of balance or coordination
· Sudden, severe headache with no known cause
You may have more than one TIA, and the recurrent signs and symptoms may be similar or different depending on which area of the brain is involved.
These terms were researched in WebMD.com, Wikipedia.com, & MerckManuals.com
***As always - seek medical attention and medical advice from your medical team, call 911, or go to closest Emergency Room at your local hospital. Our articles are only to supplement your medical information and help to understand terminology provided by your medical team.***