Amnesia
What is Amnesia?
The profound loss of memory in the presence of relatively preserved cognitive abilities
Why is amnesia interesting?
- By studying a system when it breaks down (e.g. amnesia) we can learn a lot about how that system functions normally (e.g. healthy memory)
- We need memory to survive
- Despite some severe memory problems amnesics are able to retain a remarkable range of abilities
Types of Amnesia
- Psychogenic Amnesia
- Organic Amnesia
* Transient
* Persistent
* Degenerative
* Non-degenerative
* Material Specific
* Global - The Classic Amnesic Syndrome
Brain Region Involved

What’s so important about the Hippocampus
- Hippocampus placed at the ‘end’ of the primate visual system → Feldman and Van Essen (1991)


Papez’s Circuit
- Hippocampal Amnesia (Medial temporal Lobe damage, fornix)
- Korsakoff’s Amnesia (Thaimine Deficiency)
- (Mammillary bodies, anterior thalamus)

Comme etiologies (causes) of Amnesia
- Physical Damage → head trauma or surgery
- Viral Disease → Encephalitis
- Loss of blood flow → Ischaemia
- Loss of oxygen → Anoxia
- Nutritional deficiency → Low Thiamine (Korsakoff’s)
Surgery of Epilepsy → Patient HM (Milner)

Head Trauma → Patient BJ (Van and Aggleton, 2004)

Herpes Encephalitis → Patient EP (Squire)

Functions Spared or Impaired in Amnesia
- Spared functions
- Impaired functions
- Taxonomy of Long term memory
- Controversies
Spared Functions
General cognitive abilities
* IQ, Language, attention, vision, executive functions Tests:
* WAIS for IQ attention
* Wisconsin Card Sorting Test for Executive Function Graded
* Naming Test for General semanticsShort-term memory
* Tests: i) Digit span ii) Corsi block span
* \
Implicit/procedural memory
* Tests: Varied.
Procedure Memory

Perceptual Priming

Habit Learning (Knowlton et al, 1996)
- 'Weather prediction task’
* Amnesic & Parkinson’s & Huntingtons patients tested

- Amnesics → normal learning of ‘rule’ over first 50 trials, but can’t recognise specific stimuli.
- Huntington’s & Parkinson’s patients (striatum damage) → can’t learn rule but can recognise specific stimuli
Impaired Function
- Impaired Episodic Memory
* memory for events and episodes which were personally experienced
* i) Anterograde Amnesia ii) Retrograde Amnesia - \


Semantic Memory
- The ability to remember facts and information independently
‘Declarative’ Taxonomy of Memory → Squire’s

Topic of Controversy
- Brain regions supporting
* Recognition memory
* Semantic memory - Memory Consolidation
- Hippocampus → spatial perception / scene construction
‘Declarative’ Taxonomy of Memory (Revision)

Familiarity vs. Recollection
- Recollection → Rich detailed remembering of past events
* E.g. seeing a face and remembering who they are, where and when you last saw them - Familiarity → Feeling that something is familiar but no details about it retained.
* E.g. recognising someone you’ve seen before, but not knowing their name, or who they are
Dissociations between recognition and recall


- Hippocampus NOT essential for tasks which can be solved by a sense of familiarity
Is the Hippocampus Involved in Semantic Memory
Semantic Memory
- HM is impaired memory for word definitions (Gabrielli et al., 1988) → Also patient GD. Squire (1992) and others
- Both episodic and semantic memory affected in amnesia → declarative memory
- Early onset developmental amnesics → spared semantic memory:
* neocortex allows slow gradual learning
* a small fragment of remaining hippocampus supports this function
* (Vargha-Khadem et al., 1997)
Hippocampus and Memory Consilidation
Temporal Gradients in Retrograde Amnesia

- Old memories (childhood) still remembered
- Memories 5-10yrs before lesion lost
- Forgot death of favorite uncle in 1950
- Implies hippocampal/ MTL memories ‘consolidated’ in neocortex over time & become independent of the hippocampus (Marr 1971; Alvarez & Squire, 1996)
Testing Retrograde Amnesia
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- HM:
* photos of celebrities → retrograde amnesia spans decades, more distant memories relatively preserved
* (Marslen-Wilson & Teuber, 1975)
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- PZ:
* Butters & Cermak (1986) Wrote autobiography Test personal memories
Autobiographical Memory Interview (Kopelman et al., 1990).
Retrograde Amnesia
- Most amnesics suffer from some some RA
- High variability in length → case RB a few years → case LD entire life
- Problems
* Not often examined in studies
* Few standardized tests available
* Low motivation of patients
* Are all the stimuli as salient across time periods?
* Have the episodic memories become more semanticized?

Multiple Trace Theory (Nadel and Moscovitch, 1997)
- Episodic memories are never consolidated completely from the hippocampus, in particular memories for visual-spatial details of events



Role of the Hippocampus in: imagination & scene construction

Impaired Scene Construction
- Patients can’t imagine the scene
- But can imagine objects
- Patients also have problems perceptually processing complex scenes, but not objects (Lee et al., 2005 Hippocampus)
- Suggestion: the hippocampus is involved in mental scene construction


