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Clinical Neuropsychology-Amnesia
Amnesia Lecture Materials
30
Psychology
Graduate
11/13/2011

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Term
Papez Circuit
Definition
Hippocampus, fornix, mammillary body, thalamus, cingulate gyrus, other areas of cortex, hippocampus again. Lesion in any of these areas causes memory problems, especially bilateral.
Term
Core structure of Papez Circuit
Definition
Hippocampus
Term
Cingulate gyrus
Definition
Band of brain tissue surrounding the corpus callosum
Term
Fornix
Definition
White matter tract that arches from the hippocampus around the third ventricle to the mammillary body
Term
Mammilothalamic tract
Definition
a bundle of nerve fibers that runs from the mammillary body to the anterior nucleus of the thalamus also called the mammillothalamic fasciculus
Term
Hippocampus
Definition
Limbic system structure involved in memory consolidation, located in the temporal horn of lateral ventricle (medial temporal lobe); part of Papez ciruit, projects to fornix and receives projections from the cortex.
Term
Why is memory strongly linked to emotion?
Definition
The Papez circuit runs parallel to the amygdala pathway through the stria terminalis to the septal region, which is involved in emotional regulation
Term
Limbic system
Definition
Papez circuit structures, loop from amygdala to hypothalamus and those structures, olfactory cortex, insula, orbito-frontal cortex
Term
Von Economo neurons
Definition
Recently evolved spindle neurons seen in humans, great apes, dolphins, and whales, theorised to have a role in the evolution of vocal communication
Term
Insula
Definition
"The body in the brain", sensory cortex in lateral sulcus between temporal and frontal lobes; responsible for intro-reception-taste, touch, vestibular, visceral
Term
Orbito-frontal cortex
Definition
Prefrontal cortex region in frontal lobes, Involved in reward and motivation responds to smell/taste stimuli when animal is hungry or thirsty
Term
Lesion in orbito-frontal cortex
Definition
Failure to respond appropriately to reward, and in humans disintegration of social behavior, i.e. Phineas Gage, often result of head trauma (temporal lobe contusion)
Term
Amnesia cause
Definition
Lesions to structures in Papez Circuit, especially bilaterally
Term
Hippocampal damage causes
Definition
Anoxia/hypoglycaemia, herpes encephalitis, PCA stroke, Trauma, Alzheimer's disease
Term
Thalamic damage causes
Definition
stroke, tumour
Term
Mammillary body damage effect
Definition
Korsakoff Amnesia
Term
Basal forebrain damage cause
Definition
Anterior Communicating Artery aneurysm
Term
Anoxia
Definition
lack of oxygen; kills neurons, hippocampus is especially sensitive
Term
hypoxia/hypoglycaemia
Definition
loss of oxygen to whole brain, killing neurons in minutes especially in the hippocampus, 'watershed' strokes
Term
Amnesia with normal brain scan?
Definition
Usually the result of hypoxia
Term
Herpes Encephalitis
Definition
Infection of the brain with Herpes Type 1 virus, usually of anterior temporal lobes and often spreads through limbic system; symptom onset acute over days or weeks, fever and headache, confusion, memory loss, aphasia, seizures, coma, death in that order unless treated early with antivirals; diagnosed with MRI, EEG, lumbar puncture, spinal fluid labs (high protein, lymphocytes, normal glucose)
Term
Fever/headache, days or weeks onset, lesions in cingulate gyrus and hippocampus?
Definition
Herpes encephalitis most likely
Term
Korsakoff Syndrome
Definition
Amnesic with confabulations, apathy, lack of insight; caused by deficiency of vitamin B1 (thiamine) necessary to metabolise glucose and release oxygen to brain cells, functionally causing a myriad of tiny strokes in the most oxygen-sensitive parts of the brain; often seen in alcoholics
Term
Wernicke's encephalopathy
Definition
acute onset of global confusion and eye movement disturbances, often accompanied by abnormal movements and gait ataxia; eye movement disturbances usually recover with thiamine administration
Term
Wernicke-Korsakoff Syndrome
Definition
Thiamine deficiency causing global confusion, eye movement disturbances, gait ataxia, amnesia and confabulations. Thiamine deficiency causes numerous small haemorrhages in the paraventricular areas of midbrain and diencephalon
Term
Medial Temporal Stroke (PCA) effect
Definition
Verbal memory impairment if left hippocampus is involved, visual memory if right hippocampus is involved, usually
Term
Transient Global Amnesia
Definition
Sudden severe amnesia with antegrade amnesia for days or weeks prior, usually complete recovery within hours but may recur, no other cognitive or neurological deficits, animated, aware that something is wrong, asks same question(s) repeatedly often regarding well-being of someone else, no known cause but may be transient disruption of hippocampus bilaterally.
Term
Alzheimer's disease and memory/hippocampus
Definition
Usually progressive memory loss, commonly early degeneration of hippocampus and cholinergic neurotransmitters to it from basal forebrain
Term
Aneurysm in anterior communicating artery
Definition
Damage to basal forebrain, causes profound amnesia with florid confabulations, very good recognition memory with no explicit recall, often also with leg weakness and severe headache
Term
Temporal lobe contusion/head trauma
Definition
Phineas Gage Syndrome, orbito-frontal contusion, loss of appropriate social behavior and normal response to rewards
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