A report on Temporal lobe, Amnesia, Hippocampus, Anterograde amnesia and Episodic memory

In neurology, anterograde amnesia is a loss of the ability to create new memories after the event that caused amnesia, leading to a partial or complete inability to recall the recent past, while long-term memories from before the event remain intact.

There are two main types of amnesia: retrograde amnesia and anterograde amnesia.

To a large degree, anterograde amnesia remains a mysterious ailment because the precise mechanism of storing memories is not yet well understood, although it is known that the regions of the brain involved are certain sites in the temporal cortex, especially in the hippocampus and nearby subcortical regions.

Declarative (denotative) or explicit memory is conscious memory divided into semantic memory (facts) and episodic memory (events).

Medial temporal lobe structures that are critical for long-term memory include the hippocampus, along with the surrounding hippocampal region consisting of the perirhinal, parahippocampal, and entorhinal neocortical regions.

Case studies also show that amnesia is typically associated with damage to the medial temporal lobe.

People with extensive, bilateral hippocampal damage may experience anterograde amnesia: the inability to form and retain new memories.

In addition, specific areas of the hippocampus (the CA1 region) are involved with memory.

The medial temporal lobes include the hippocampi, which are essential for memory storage, therefore damage to this area can result in impairment in new memory formation leading to permanent or temporary anterograde amnesia.

The formation of new episodic memories requires the medial temporal lobe, a structure that includes the hippocampus.

This ridge can also be seen as an inward fold of the archicortex into the medial temporal lobe.

Amnesia, Korsakoff syndrome, Klüver–Bucy syndrome

For example, anterograde amnesia, from damage of the medial temporal lobe, is an impairment of declarative memory that affects both episodic and semantic memory operations.

Retrograde amnesia is inability to recall memories before onset of amnesia. One may be able to encode new memories after the incident. Retrograde is usually caused by head trauma or brain damage to parts of the brain besides the hippocampus. The hippocampus is responsible for encoding new memory. Episodic memory is more likely to be affected than semantic memory. The damage is usually caused by head trauma, cerebrovascular accident, stroke, tumor, hypoxia, encephalitis, or chronic alcoholism. People with retrograde amnesia are more likely to remember general knowledge rather than specifics. Recent memories are less likely to be recovered, but older memories will be easier to recall due to strengthening over time. Retrograde amnesia is usually temporary and can be treated by exposing them to memories from the loss. Another type of consolidation (process by which memories become stable in the brain) occurs over much longer periods of time/days, weeks, months and years and likely involves transfer of information from the hippocampus to more permanent storage site in the cortex. The operation of this longer-term consolidation process is seen in the retrograde amnesia of patients with hippocampal damage who can recall memories from childhood relatively normally, but are impaired when recalling experiences that occurred just a few years prior to the time they became amnesic. (Kirwan et al.,2008)In the case of LSJ, her case shows that retrograde amnesia can affect many different parts of knowledge. LSJ was not able to remember things from her child or adult life. She was not able to remember things that most people pick up in everyday life such as logos or the names of common songs.

It is apparent that complete amnesia occurs only when both the hippocampus and the parahippocampus are damaged.

The label "amnesia" is most often given to patients with deficits in episodic memory.

Furthermore, the data do not explain the dichotomy that exists in the MTL memory system between episodic memory and semantic memory (described below).

Over the years, three main ideas of hippocampal function have dominated the literature: response inhibition, episodic memory, and spatial cognition.