MEMORY DISORDER 1 Flashcards

(51 cards)

1
Q

Whats the classification of amnesia?

A

Psychogenic
Organic

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2
Q

Whats the classification for memory distortions?

A

Disorder or recall
Disorders of recognition

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3
Q

Whats psychogenic amnesia?

A

Functional amnesia

Refers to an impairment of learning and memory out of all distortions to other cognitive functions

But can’t be related to indetifiable brain damage

Associated with impaired recall of previously acquired memories

  • including autobiographical and semantic information
  • in some cases it also affects the learning of new material
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4
Q

Whats dissociative amnesia?

A
  • Psychiatric condition involving inability to recall important autobiographical memories.
  • Occurs without known neurological or medical causes.
  • May involve localized amnesia (e.g., specific time or stressful event).
  • In severe cases, presents as global amnesia, affecting entire lifespan memory.
  • Some may experience loss of identity and dissociative fugue (sudden travel away with amnesia).
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5
Q

In dissociative amnesia what’s teh decreased activation of?

A

Decreased activation of
- the ventromedical prefrontal cortex
- the bilateral posterior parietal cortices

Abnormal patterns were also identified during recognition and recollection tasks in both salience and central executive networks

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6
Q

Whats the key areas in the default mode network?

A

a group of connected brain regions that is active when your mind is at rest and not focused on the outside world
Posterior cingualte context - involved in memory and self-referential thought
- medial prefrontal cortex
- inferior parietal lobule

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7
Q

Whats organic amnesia?

A

Organic impairment of memory is referred as true amnesia and can affect different functions of memory

caused by physical damage or disease affecting the brain

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8
Q

Whats anterograde amnesia

A

Difficulty in learning new information

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9
Q

Whats retrograde amnesia?

A

Inability to remember events that happened before the brain damage occurred

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10
Q

Whats the casue of damage for anterograde amnesia?

A

Can be caused by damage to the temporal love where the hippocampus is located

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11
Q

Whats the time line for anterograde and retrograde amnesia?

A

Birth
Retrograde period
Date of brain injury
Anterograde period
Present day

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12
Q

Explain about the hippocampus?

A

It’s not a location for long-term memories, its not necessary for retrieval of long-term memories
It’s involved in the consolidation stage of memory

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13
Q

What did zola- Morgan and colleagues find out about anterograde amnesia: consolidation?

A

52 year old man - history of heart trouble - sustained a cardiac arrest
Period of anoxia - resulted in brain damage
Primary symptom - permeant anterograde amnesia
Analysing his brain 5 years later - CA1 field was primarily affected by - neurons completely degenerated

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14
Q

Whats Schaffer collaterals?

A

Axons from CA3 send information to CA1 pyramidal neurons

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15
Q

Whats hippocampus depdent anterograde amnesia?

A

Inability to form new long-term memories due to hippocampal damage; past memories remain mostly intact.

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16
Q

Whats metabolic disturbances?

A

casue glutamatergic to released glutamate at abnormally high levels

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17
Q

How does Ca²⁺ entry via NMDA receptors relate to memory and brain damage?

A

NMDA receptors allow Ca²⁺ into neurons to support memory formation (LTP), but too much causes excitotoxicity, leading to cell death and memory impairments.

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18
Q
A
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19
Q

Explain retrograde amnesia: retrieval?

A

Retrograde amnesia extends back for a limited period of time - hippocampal formation gradually transforms memories into permanent storage.

  • before transfer is complete - the hippocampus is required for the retrieval of these memories
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20
Q

What did Hayley et al find?

A

People with retrograde amnesia vs healthy volunteers - recall of events more than 15 years old was as good as control participant’s.

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21
Q

Whats the retrieval of oldest memories activated less and less of where?

A

In the hippocampus
Opposite effect in the frontal cortex

22
Q

Whats the transient global amnesia?

A

A sudden onset of anterograde amnesia - very little extent retrograde

Often accompanied by impairment in exacutive function and recognition - repetitive questioning
Can last up to 24 hrs
And is not linked to any other neurological impairment

23
Q

Whats the feature of transient global amnesia?

A

Perseveration - the repetition of a particular response - word,phrase or gesture - regardless of the absence of cessation of a stimulus

24
Q

Whats the risk factors in transient global amnesia?

A
  • migraine
  • focal ischemia
  • venous flow abnormalities
  • epileptic phenomena
  • heart disease
  • hyperlipidemia = high cholesterol
25
Whats the certain situations that can trigger TGA?
- physical exertion - emotional or psychological stress - send immersion in cold or hot water - pain
26
What does restricted diffusion in the CA1 hippocampus on DWI/ADC MRI suggest?
It indicates temporary dysfunction usually appearing - 2 days after symptoms and reflects CA region vulnerability linked to memory loss
27
Why is CA1 region of the hippocampus especially vulnerable to damage?
The CA1 region is highly suspectible due to its role in memory consolidation and its sensitivity to hypoxia - low oxygen- or ischemia making it prone to damage in conditions like stroke or seizures
28
Whats the ischemia stroke?
• Occurs when the blood supply to the part of the brain is blocked or reduced • Prevents brain tissue from getting oxygen and nutrients • Neurons begin to die in minutes
29
Explain the hemorrhagic stroke?
• Occurs when a blood vessel in the brain leaks or bursts and causes bleeding in the brain • The blood increases pressure on brain cells and damages them This leads to a medical emergency
30
How to spot a stroke?
F.A.S.T F = face dropping A = arm weakness S = speech difficulty T - time to call 999
31
Other symptoms of a stroke?
- sudden weakness or numbness in one side of the body - difficulty in finding words or speaking in clear sentences - sudden blurred vision or loss of sight in one or both eyes - sudden memory loss or confusion and dizziness or sudden fall - a sudden severe headache
32
Whats teh difference between ischemic stroke and hemorrhagic stroke?
Ischemic stroke - blood clot blocks blood flow to part of the brain Hemorrhagic stroke - artery ruptures, causing bleeding around the brain
33
Whats the most common type of stroke?
Transient ischemic attack - doesn’t cause lasting symptoms
34
What memory does the stroke impair?
Episodic memory Every node of the limbic system implicated in memory may be damaged by stroke but dry rarely isolated
35
What does a stroke produce?
Produces amnesia by damage to critical convergence white matter connections of the limbic system and impairs the memory causing classical amnesia, damaging brain regions responsible for congnitive processes
36
Whats the korsakoff’s syndrome?
First described in 1889 - degenerative disorder with symptoms of dementia - memory gaps and confabulation - neither hereditary nor contagious - caused by environmental factors like alcohol consumption Causes: thiamine deficiency
37
Whats severe anterograde amnesia?
Patients appeare to be unable to form a new memories - they still remember old ones to an extent
38
Whats the stage 1 and stage 2 for graded brain volume deficits in wernicke - korsakoff syndrome?
Wernicke’s encephalopathy - Korsakoff’s syndrome
39
Whats temporal lobe epilepsy?
The most common form of focal epilepsy - about 6/10 people with focal epilepsy have temporal lobe epilepsy - seizures in TLE start or involve in one or both temporal loves in the brain
40
Whats the two types of TLE?
- medial temporal lobe epilepsy - involves the medial or internal structures of the temporal lobe. Seizures often begin in the hippocampus or surrounding area. It accounts for almost 80% of all temporal lobe seizures
41
Explain neocortical or lateral temporal lobe epilepsy?
Involves the outer part of the temporal lobe
42
Define seizure?
A period of sudden excessive activity of cerebral neurons
43
What’s medial temporal lobe epilepsy?
Often associated with changes or abnormal findings on MRI. One of the most common findings is scarring in the temporal lobe - hippocampul scelerosis - shrinking of the hippocampus
44
What’s Deja vu?
Subjectively inappropriate impression of familiarity of a present experience with an undefined past
45
Define
46
How many people estimated to experience Deja vu
97%
47
What does the brains role in Deja vu?
The brain is creating an illusion - miscommunication between the hippocmapus and the parahippocampal gyrus Hippocampus - role in recall and conscious recollection Parahippocampal gyrus - plays a role in familiarity discrimaintion
48
Which ages does Deja vu happen in between and what can it be a symptom of?
15-25 Symptom of temporal lobe epilepsy
49
Explain how Deja vu can be a symptom of temporal love epilepsy?
A seizure would disturb the connection between hippocmapus and parahippocampal gyrus Experiencing Deja vu doesn’t mean you’re having a seizur, but may be an underlying health concern
50
Which type of dementia have persistent Deja vu?
Frontotemporal demntia
51
When is Deja vu signals a problem?
- occurs a few times a month or often more - followed by loss of consciousness - accompanied by abnormal, dread like memories or visual sciences - symptoms like unconscious chewing, fumbling, racing heart of feeling of fear