Unilateral medial temporal lobe memory impairment: type deficit, function deficit or both?

Authors:

• Ian G. Dobbins

• Neal E. A. Kroll

• Endel Tulving

• Robert T. Knight

• Michael S. Gazzaniga

Date: 1997

PubMed: 9539232

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Abstract:

Previous research has characterized memory deficits resulting from unilateral hippocampal system damage as 'material specific', suggesting that left damage results in verbal memory impairment with preservation of visuospatial function and the converse with right damage. Implicit within this hypothesis are the assumptions that the systems are independent and memory is lateralized for each type of material. To test the verbal component of this hypothesis, unilateral hippocampal lesion and commissurotomy patients were compared with controls on a multiple-list free-recall task. The material specific hypothesis predicts severe impairment only with left lesions; right lesions and commissurotomy patients should be only minimally impaired. However, secondary memory was compromised at immediate recall for all patient groups, with both unilateral groups showing comparable and severe verbal episodic memory deficits. Final testing across all lists also revealed severe impairment in commissurotomy patients. Finding both unilateral groups to be similarly impaired for verbal material is taken as evidence against a material specific deficit during this verbal episodic memory task. Although previous data suggest that left patients are considerably more impaired during some verbal tasks, this may not be specific to the material, but rather the combination of material and task demands. Implications for the material specific hypothesis are discussed.

Retrieval of old memories: the temporofrontal hypothesis

Authors:

• Neal E. A. Kroll

• Hans J Markowitsch

• Robert T. Knight

• D. Yves Von Cramon

Date: 1997

PubMed: 9278629

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Abstract:

Extensive neuropsychological testing is reported on two chronic patients with combined temporopolar and prefrontal damage, dominantly left-hemispheric, and, as control, one chronic patient with bi-hemispheric prefrontal damage. The principal finding is that combined temporofrontal damage, but not substantial prefrontal damage alone, results in marked retrograde memory deficits while leaving intelligence and new learning relatively unimpaired. Although their general world knowledge was good, the temporopolar patients demonstrated retrograde memory impairments on several tests of past events and faces of previously famous people. With respect to retrograde autobiographical memory, one of the temporopolar patients was severely impaired and the other was judged to be moderately impaired. The control patient appeared to be normal. These results, together with corresponding data from related single case and dynamic imaging studies, strongly support a crucial role of the temporofrontal junction area in the ecphory of old memories.

Impaired word-stem priming in patients with temporal-occipital lesions

Authors:

• Lynn Nielsen-Bohlman

• Michael Ciranni

• Arthur P. Shimamura

• Robert T. Knight

Date: 1997

PubMed: 9256373

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Abstract:

In the word-stem priming test, words are presented (e.g., MOTEL, PARADE), and later subjects are shown three-letter word stems (e.g., MOT, PAR) and asked to complete each stem with the first word that comes to mind. Word-stem priming, as well as other aspects of implicit memory, are intact in amnesic patients with medial temporal lesions. However, this form of priming has been shown to be impaired in patients with Alzheimer's disease, suggesting that damage to neocortical areas outside the medial temporal lobe contributes to impaired priming in these patients. To examine the role of posterior cortical areas on word-stem priming, we administered the test to patients with unilateral temporal-occipital lesions. Patients with temporal-occipital lesions exhibited significantly impaired priming on this test. The findings suggest a critical role of the inferior posterior neocortex in the expression of this form of implicit memory.

Prefrontal deficits in attention and inhibitory control with aging

Authors:

• Linda L. Chao

• Robert T. Knight

Date: 1997

PubMed: 9023433

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Abstract:

Event-related potentials and behavioral measures were obtained from young and elderly subjects while they performed two different auditory delayed match-to-sample tasks. In each experiment, subjects had to indicate whether an initial and a subsequent test sound were identical in two different conditions: one filled with distracting tone pips and one with no distractors. Electrophysiologically, elderly subjects had reduced attention-related activity over frontal regions. In addition, the distracting stimuli elicited an enhanced primary auditory evoked response in the elderly. The percentage of perseverative errors on the Wisconsin card sorting test, a putative measure of frontal lobe function, was positively correlated with the amplitude of the primary auditory evoked response in elderly subjects. Behaviorally, elderly subjects were impaired by distractors at long but not short delays. Taken together, these results suggest that increased distractibility and impaired sustained attention with aging may be due to altered prefrontal cortex function. These data support the loss of prefrontal suppression over the primary auditory regions with aging.

Distributed Cortical Network for Visual Attention

Authors:

• Robert T. Knight

Date: 1997

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Abstract:

The contribution of prefrontal and posterior association cortex to voluntary and involuntary visual attention was as sessed using electrophysiological techniques in patients with focal lesions in prefrontal (n = 11), temporal-parietal (n = 10), or lateral parietal cortex (n = 7). Subjects participated in a task requiring detection of designated target stimuli embedded in trains of repetitive stimuli. Infrequent and irrelevant novel visual stimuli were randomly interspersed with the target and background stimuli. Controls generated attention dependent N1 (170 msec) and N2 (243 msec) potentials maximal over extrastriate cortex. Anterior and posterior association cortex lesions reduced the amplitude of both the N1 and N2 potentials recorded over extrastriate cortex of the lesioned hemisphere. The pattern of results obtained reveals that an intrahemispheric network involving prefrontal and posterior association cortex modulates early visual processing in extrastriate regions. Voluntary target detection generated a parietal maximal P300 response (P3b) and irrelevant novel stimuli generated a more frontocentrally distributed P300 (P3a). Cortical lesions had differential effects on P3a and P3b potentials. The P3b was not significantly reduced in any cortical lesioned group. Conversely, the P3a was reduced by both prefrontal and posterior lesions with decrements most severe throughout the lesioned hemisphere. These data provide evidence that an association cortex network involving prefrontal and posterior regions is activated during orientation to novel events. The lack of a significant effect on the visual target P3b in patients with novelty P3a reductions supports the notion that different neural systems are engaged during voluntary vs involuntary atten-tion to visual stimuli.

Event-Related Potentials Differentiate the Effects of Aging on Word and Nonword Repetition in Explicit and Implicit Memory Tasks

Authors:

• Diane Swick

• Robert T. Knight

Date: 1997

PubMed: 9028023

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Abstract:

Explicit memory declines with age while implicit memory remains largely intact. These experiments extended behavioral findings by recording event-related potentials (ERPs) in young and elderly adults during repetition priming and recognition memory paradigms. Words and pronounceable nonwords repeated after 1 of 3 delays. Stimuli were categorized as either word-nonword or old-new. Repeated items elicited more positive-going potentials in both tasks. Hemispheric asymmetries for word and nonword processing were observed during lexical decision: Repetition effects were larger over the left hemisphere for words and over the right hemisphere for nonwords. For the young, ERP repetition effects were larger during recognition memory. For old adults, conversely, repetition produced more positive-going waveforms during lexical decision. The elderly had ERP and behavioral deficits at long recognition delays. ERP repetition effects in the elderly, like behavioral performance, were preserved in an implicit task but impaired in an explicit memory task.