NEUROLOGY OF INTELLIGENCE AND MEMORY Flashcards
How to obtain IQ
It denotes the figure
that is obtained by dividing the subject’s mental age
(as determined by the Binet-Simon scale) by his chronologie
age (up to the 14th year) and multiplying the result
by 100.
Describe IQ
IQ increases with age up to the 14th to 1 6th years and then remains stable, at least until late adult life.
the multifactorial theory of Thurstone, proposed that intelligence consists of a number of primary mental abilities, such as:
memory, verbal facility, numerical ability, visuospatial perception, and capacity for problem solving, all of them more or less equivalent
developmental aspects of
intelligence by Piaget:
\_\_\_\_\_\_\_\_\_ from 0 to 2 years; \_\_\_\_\_\_\_\_\_from 2 to 4 years; \_\_\_\_\_\_\_\_\_ from 4 to 7 years; \_\_\_\_\_\_\_\_\_ from 7 to 11 years; \_\_\_\_\_\_\_\_\_\_ 11 years on
sensorimotor, preconceptual thought, intuitive thought, concrete operations (conceptualization), "formal operations" (logical or abstract thought), from
approximately _______ of patients who are referred to
a neurologic center with a question of dementia prove
to have a potentially reversible psychiatric or metabolic
disorder.
10 percent
memory complaints that are mild and do not interfere
with daily functioning but are still disproportionate for
the patient’s age and education
MCI
other terms for MCI:
age-associated memory impairment, and, in the past, benign senescent forgetfulness, aging-associated cognitive decline
___________are early and prominent in
one special group of degenerative conditions, occurring
only later in Alzheimer disease
Apraxias and agnosias
WHAT KIND OF DEMENTIA?
early personality changes, particularly apathy or disinhibition, euphoria, perseveration in motor and cognitive tasks, ritualistic and repetitive behaviors, and laconic speech leading to mutism-all with relative preservation of memory, orientation,
and visuospatial capability.
frontotemporal lobar degeneration
__________
although usually a late development, may occur early,
particularly in patients in whom the dementia is associated with or superimposed on frontal lobe degeneration, Parkinson disease, normal pressure hydrocephalus, cerebellar ataxia, or progressive supranuclear palsy.
Gait disorder,
cognitive decline of certain
predominantly basal ganglionic diseases-such as
progressive supranuclear palsy, Huntington chorea, and
Parkinson disease-
SUBCORTICAL DEMENTIA
Loss of capacity for reading and calculation is
related to lesions in the_____________
cerebral hemisphere;
loss of use of tools and imitation
of gestures (apraxias) is related to loss of tissue in the
___________
posterior part of the left (dominant)
dominant parietal region
during mental tests, their performance may be impaired
by “emotional blocking,” in much the same way as the
worried student blocks during an examination (“experiential
confusion”).
depression
An early aphasia or visuospatial difficulty
that is manifest as either geographic confusion or
difficulty with drawing, copying, and recognizing faces
and objects are characteristic of a ___________
focal degeneration
of the parietal or inferior temporal lobes.
a unique disorder of cognitive function in which
memory and learning are deranged almost in isolation
from all other components of mentation and behavior
THE AM N ESIC SYN DROM E ( KORSAKOFF
SYN DROM E )
FEATURES OF AMNESIC STATE
- ANTEROGRADE AMNESIA
- RETROGRADE AMNESIA
- impaired temporal localization of past experience.
________, a function of working memory,
allows the patient with Korsakoff syndrome to repeat
a string of digits, but this is more a measure of attention
and registration
Immediate recall
IN Korsakoff syndrome, ________________was observed mainly in the initial phase of the illness,
in which it could be related to a state of profound general
confusion
fantastic confabulation
_____________ (e.g., concussive head
injury), memories are recovered in reverse order: first the
remote and then the more recent
In transitory amnesias
_________subsumes what most persons consider
to be memory and learning, that is, the ability to retain
and recount events that were consciously experienced
Explicit memory
________ the learning of the nature of the environment and factual knowledge (such as the shape and color of a lion) is also a type of explicit memory but the event of acquiring the memory cannot be recalled
Semantic memory,
The learning of simple mechanical skills has been referred to as ________________
in distinction to learning new data information.
procedural memory
To Tulving, whose writings on this subject are recommended, the term
_________denotes a memory system for dating personal
experiences and their temporal relationships;
______________ is one’s repository of perceptual and factual knowledge, which makes it possible to comprehend language and make inferences
episodic
semantic memory
Several regions of the brain must be active during tasks of working memory, including the hippocampi and dorsal
thalamus, but lesions of the ___________
most specifically impair the skill
dorsolateral prefrontal cortex
the hippocampal formations and the medial-dorsal
nuclei of the thalamus are essential for _____ and __________
normal memory
and learning.
The condition was characterized by an episode of
amnesia and bewilderment lasting for several hours
TGA
Global incidence of TGA
5.2 cases per 100,000 population
proposed hypothesis for TGA
It has been suggested that typical case represents
an unusual form of temporal lobe epilepsy (transient epileptic amnesia [TEA]),
in MMSE
A score of ________on the widely
used “mini-mental” is considered normal and scores below
21 generally indicate cognitive impairment
24
In this test, an index of deterioration is provided by the discrepancy between the vocabulary, picture-completion, and object-assembly tests as a group (these correlate well with premorbid intelligence and are relatively insensitive to dementing brain disease) and other measures of general performance,
namely arithmetic, block-design, digit-span, and
digit-symbol tests
Wechsler Adult Intelligence Scale (WAIS
The Wechsler Memory Scale estimates
the degree of memory failure and can be used to distinguish the ____________ from a more general dementia (discrepancy of more than 25 points between the WAIS
and the memory scale)
amnesic state
in AD, Emotional lability and paranoid tendencies
may be managed by the judicious use of_________
quetiapine,
olanzapine, risperidone, or haloperidol.