Lec 11 Flashcards
H.M patient
had epilepsy seizures focalised in medial temporal lobes, had a lobectomy removing hippocampus and amygdala, suffered memory loss.
Amnesia
retrograde amnesia = deficits in memory prior to the surgery
anterograde amnesia = deficits in ability to form new memories in STM, or inability to transfer into LTM
Digit Span + 1 test
recall five digits, each time remembered add 1 more number to the set. H.M had bad performance, averages is 15/25
Block tapping test
examiner taps blocks in an order for 9 blocks, H.M could not match average of 6 taps
mirror drawing test (impilict memory)
trace boundaries of shape watching mirror of hand, do it 10 times per day for 3 days, reduction in errors show H.M sustained some memory, but had no recall of actually doing the drawings on previous days
incomplete pictures test.
five sets of pictures containing same objects but differ in degree of completion, determine level of completeness, repeat after 1 hour, non-impaired people identify pictures at lower completeness level on second run.
pavlovian conditioning
H.M learned eye-blink conditioning task, rate of learning slower than normal but retained. after two years showed signs of retained conditioned response but could not remember doing the memory task
contribution of H.M case
revealed role of medial temporal lobe in memory, support different codes of memory STM/LTM/remote memory. Understood amnesic patients may show implicit memory but limited explicit memory
medial-temporal lobe amnesia
patients who preserve intellectual functioning with damage to medial temporal lobe. difficulty in forming explicit memories, but retain ability to form implicit memories. Can only repeat task under same conditions it was learned in.
semantic / episodic memory
semantic = general facts / info
episodic= explicit memories for specific life moments. medial temporal lobe damage causes deficits in episodic.
Korsakoff’s amnesia
memory disorder due to excessive alcohol for prolonged period, causing thiamine deficiency, confusion, personality chance, brain dysfunction, organ dysfunction. causes amnesia similar to medial temporal lobe damage, however Korsakoff damage is diffuse and hard to identify, most patients suffer damage to mediodorsal thalamic nuclei
Alzheimer’s amnesia
alzheimer in early stages cause mild memory deficits, progressed is deterioration of memory and verbal abilities. shows anterograde and retrograde amnesia, implicit for verbal and perceptual memory is degraded.
post-traumatic amesia
closed head TBI’s most common cause of amnesia. Coma = unconscious states following head blow causing retrograde amnesia for events leading up to concussion. Then confusion and anterograde amnesia for events during state of confusion.
electroconvulsive shock and consolidation
Brief intense seizure in the brain administered via electrodes. Used for depression treatment but erases memories that have not undergone consolidation. Some memories can undergo consolidation for life.
Hippocampus and ischemia
patients suffering global cerebral ischemic suffer medial temporal lobe amnesia. Case found after ischemic death, damage to pyramidal cell layer of hippocampus