Henry Molaison and the Anatomy & Neurobiology of Memory and Memory Disorders Flashcards
What did Henry Molaison have?
Severe temporal lobe epilepsy
What is the word epilepsy from?
Epilepsia (Greek) - Taking hold of; being seized > seizures
What do epileptic seizures arise from?
Sudden excitation in groups of neurons with a loss of inhibitory potential
What imbalance causes epilepsy?
The inhibitory-excitatory balance between GABA and glutamate
What happens at the excitatory synapse?
The neurotransmitter glutamate increases the spread of excitation
What is the inhibitory response?
The neurotransmitter GABA increases nervous system stability
What happens in seizure?
Normal amount of glutamate but reduced GABA, reduced inhibition causes the cell firing to be more vigorous or much more frequent than it usually is
What is the definition of Temporal Lobe Epilepsy (TLE)?
Recurrent unprovoked seizures originating from the medial or lateral temporal lobe
What is the difference between simple partial seizures and complex partial seizures?
Simple partial seizures are without loss of awareness, complex partial seizures are with loss of awareness
What happens in hippocampal sclerosis (HS)?
Neuronal loss and gliosis (excess growth or glial cells after neuronal cell loss occurs in a region), often occurs early in life
What are other aetiologies of pathophysiology of the TLE?
Past infections, tumors and vascular malfunctions
What can surgical removal of the lesioned hippocampus do?
Can cure or reduce the number of seizures
What surgery did HM undergo?
Underwent bilateral resection of an extensive amount of medial temporal tissue, included amygdala, most of hippocampi, part of parahippocampal gyrus
What happened to HN post surgery?
Normal attention span, preserved intelligence, retrograde memory essentially recovered over time but suffered from severe anterograde amnesia which only affected his declarative memory
What is retrograde amnesia?
Impairment of memories created prior to injury
What is anterograde amnesia?
Impairment for memories created after injury, impairment in learning novel information
What is declarative memory?
Conscious access to information learned previously
What is procedural memory?
Remembering ‘how to’, motor skills
What memory could HM still form post surgery?
Procedural memory function continued intact, able to learn new skills, but has no recall of learning them, normal performance on procedural memory tasks
What did HM tell us about memory?
Medial temporal lobe structures are essential for memory and more essential for anterograde than retrograde memory, distinction between declarative and procedural memory
What are the Temporal Lobes (TL)?
The ‘engine’ of memory
What is the ‘material-specificity’ hypothesis?
Patients have ‘material-specific’ memory deficits related to involved medial temporal lobes
What do left MTL lesions result in?
Non-verbal/visual memory impairment
What do right MTL lesions result in?
Non-verbal/visual memory impairment
What is the hippocampus?
Region of the brain first identified to support memory
What is the hippocampus also known as?
Cornu ammonis (ammon’s born)