RT Journal Article SR Electronic T1 Case of transient global amnesia-like syndrome after recreational cold-water swimming JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e253125 DO 10.1136/bcr-2022-253125 VO 16 IS 6 A1 Ffrench, Ruby A1 Smith, Matthew D A1 Henderson, Emily YR 2023 UL http://casereports.bmj.com/content/16/6/e253125.abstract AB We document a case of a transient global amnesia (TGA)-like syndrome following open water swimming. This case was atypical for TGA, in that symptoms were prolonged and ischaemic infarct was considered within the differential. MRI did not demonstrate any changes associated with acute ischaemia although did show a mild degree of small vessel change. With amnesia taking greater than 24 hours to resolve, we have labelled this case to be a TGA-like syndrome, provoked by the commonly reported TGA precipitant of cold water immersion. The possibility of a tiny, strategic infarct causing these symptoms was considered and antiplatelet therapy commenced.