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Mukaino T. [Memory impairments in temporal lobe epilepsy]. Rinsho Shinkeigaku 2024; 64:453-459. [PMID: 38910118 DOI: 10.5692/clinicalneurol.cn-001886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2024]
Abstract
Temporal lobe epilepsy is known to present with various cognitive impairments, among which memory deficits are frequently reported by patients. Memory deficits can be classified into two types: classical hippocampal amnesia, which is characterized by abnormalities detected in neuropsychological assessments, and atypical memory deficits, such as accelerated long-term amnesia and autobiographical memory impairment, which cannot be identified using standard testing methods. These deficits are believed to arise from a complex interplay among structural brain abnormalities, interictal epileptic discharges, pharmacological factors, and psychological states. While fundamental treatments are limited, there are opportunities for interventions such as environmental adjustments and rehabilitation. This review article aims to provide a comprehensive overview of the types, underlying pathophysiology, and intervention methods for memory disorders observed in patients with temporal lobe epilepsy.
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Höller Y, Eyjólfsdóttir S, Van Schalkwijk FJ, Trinka E. The effects of slow wave sleep characteristics on semantic, episodic, and procedural memory in people with epilepsy. Front Pharmacol 2024; 15:1374760. [PMID: 38725659 PMCID: PMC11079234 DOI: 10.3389/fphar.2024.1374760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 04/04/2024] [Indexed: 05/12/2024] Open
Abstract
Slow wave sleep (SWS) is highly relevant for verbal and non-verbal/spatial memory in healthy individuals, but also in people with epilepsy. However, contradictory findings exist regarding the effect of seizures on overnight memory retention, particularly relating to procedural and non-verbal memory, and thorough examination of episodic memory retention with ecologically valid tests is missing. This research explores the interaction of SWS duration with epilepsy-relevant factors, as well as the relation of spectral characteristics of SWS on overnight retention of procedural, verbal, and episodic memory. In an epilepsy monitoring unit, epilepsy patients (N = 40) underwent learning, immediate and 12 h delayed testing of memory retention for a fingertapping task (procedural memory), a word-pair task (verbal memory), and an innovative virtual reality task (episodic memory). We used multiple linear regression to examine the impact of SWS duration, spectral characteristics of SWS, seizure occurrence, medication, depression, seizure type, gender, and epilepsy duration on overnight memory retention. Results indicated that none of the candidate variables significantly predicted overnight changes for procedural memory performance. For verbal memory, the occurrence of tonic-clonic seizures negatively impacted memory retention and higher psychoactive medication load showed a tendency for lower verbal memory retention. Episodic memory was significantly impacted by epilepsy duration, displaying a potential nonlinear impact with a longer duration than 10 years negatively affecting memory performance. Higher drug load of anti-seizure medication was by tendency related to better overnight retention of episodic memory. Contrary to expectations longer SWS duration showed a trend towards decreased episodic memory performance. Analyses on associations between memory types and EEG band power during SWS revealed lower alpha-band power in the frontal right region as significant predictor for better episodic memory retention. In conclusion, this research reveals that memory modalities are not equally affected by important epilepsy factors such as duration of epilepsy and medication, as well as SWS spectral characteristics.
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Affiliation(s)
- Yvonne Höller
- Faculty of Psychology, University of Akureyri, Akureyri, Iceland
| | | | - Frank Jasper Van Schalkwijk
- Hertie-Institute for Clinical Brain Research, Center for Neurology, University Medical Center Tübingen, Tübingen, Germany
| | - Eugen Trinka
- Department of Neurology, Christian Doppler University Hospital, Member of the European Reference Network EpiCARE, Neuroscience Institute, Paracelsus Medical University and Centre for Cognitive Neuroscience Salzburg, Salzburg, Austria
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Studer M, Guggisberg AG, Gyger N, Gutbrod K, Henke K, Heinemann D. Accelerated long-term forgetting in patients with acquired brain injury. Brain Inj 2024; 38:377-389. [PMID: 38385560 DOI: 10.1080/02699052.2024.2311349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024]
Abstract
OBJECTIVE Recent research suggests that patients with neurological disorders without overt seizures may also experience accelerated long-term forgetting (ALF). This term describes unimpaired learning and memory performance after standard retention intervals, but an excessive rate of forgetting over delays of days or weeks. The objective of this retrospective study was to investigate ALF in patients with an acquired brain injury (ABI) and to associate memory performance with executive functions. METHODS Verbal memory performance (short-term recall, 30-min recall, 1-week recall) was assessed in 34 adult patients with ABI and compared to a healthy control group (n = 54) using an auditory word learning and memory test. RESULTS Repeated measure analysis showed significant effects of time and group as well as interaction effects between time and group regarding recall and recognition performance. Patients with ABI had a significantly impaired 1-week recall and recognition performance compared to the healthy control group. Correlations between recall performance and executive functions were nonsignificant. DISCUSSION Our results demonstrate that non-epileptic patients with ABI, especially patients with frontal and fronto-temporal lesions, are prone to ALF. Additionally, our data support the assumption that ALF results from a consolidation impairment since verbal recall and recognition were impaired in patients with ABI.
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Affiliation(s)
- M Studer
- Department of Pediatric Neurology and Developmental Medicine, University Children's Hospital Basel (UKBB), Basel, Switzerland
- Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
| | - A G Guggisberg
- Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
| | - N Gyger
- Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
| | - K Gutbrod
- Neurozentrum Bern, Bern, Switzerland
| | - K Henke
- Institute of Psychology, University of Bern, Bern, Switzerland
| | - D Heinemann
- Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
- Department of Neurology, Cantonal Hospital Aarau, Aarau, Switzerland
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Puteikis K, Wolf P, Mameniškienė R. Longer-term verbal and visual memory patterns in patients with temporal lobe and genetic generalized epilepsies. Epilepsia Open 2023; 8:1279-1287. [PMID: 37381720 PMCID: PMC10690666 DOI: 10.1002/epi4.12779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 06/24/2023] [Indexed: 06/30/2023] Open
Abstract
OBJECTIVE To compare forgetting patterns between patients with temporal lobe (TLE) and generalized (GGE) epilepsies and to assess whether recall is associated with epileptic activity. METHODS Thirty-three patients with TLE (13 left, 17 right, and 3 nonlateralized TLE), 42 patients with GGE, and 57 healthy controls (HCs) were asked to recall words, verbal story material, and the Rey-Osterrieth complex figure at two delays. Accelerated long-term forgetting (ALF) was defined by group performance comparable to HCs at 30 min and worse recall than HCs after 4 weeks. ALF was assessed by comparing raw test scores in a two-way repeated measures analysis of variance (ANOVA) adjusted for the learning capacity. RESULTS Compared to HCs, patients with R-TLE remembered fewer items of the word list after 30 min as well as after 4 weeks. Patients with L-TLE and GGE had comparable learning-adjusted performance to HCs at the 30 min delay but scored less after 4 weeks (group by delay interaction F(3, 124) = 3.2, P = 0.026,η p 2 = 0.07). The epilepsy group (patients with TLE and GGE combined) performed as well as HCs at 30 min but worse after 4 weeks irrespective of experienced seizures during the 4-week delay or interictal bilateral (TLE) or generalized (GGE) activity before the study. We noted no statistically significant differences between patient and HC verbal story (group by delay interaction F(3, 124) = 0.7, P = 0.570,η p 2 = 0.02) or complex figure (F(3, 124) = 0.8, P = 0.488,η p 2 = 0.02) recall. SIGNIFICANCE Our data support verbal and visual memory impairment in both TLE and GGE with different performances between these groups in the task of word recall. We suggest the presence of ALF in patients with GGE and left TLE after adjusting for learning capacity. We could not confirm the influence of epileptic activity on long-term forgetting patterns. Future studies are required to better define domain-specific differences in memory impairment in TLE and GGE.
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Affiliation(s)
| | - Peter Wolf
- Center for NeurologyVilnius UniversityVilniusLithuania
- Danish Epilepsy Center FiladelfiaDianalundDenmark
- Postgraduation Program of Medical SciencesSanta Catarina Federal UniversityFlorianópolisBrazil
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Sekimoto M, Kato M, Muramatsu R, Onuma T. Cognitive dysfunction in drug-naïve late-onset temporal lobe epilepsy. Epilepsy Behav 2023; 146:109356. [PMID: 37499577 DOI: 10.1016/j.yebeh.2023.109356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 07/02/2023] [Accepted: 07/07/2023] [Indexed: 07/29/2023]
Abstract
OBJECTIVES To evaluate cognitive functions including memory in middle-aged and elderly patients with antiseizure drug-naïve late-onset temporal lobe epilepsy (TLE). METHODS We performed assessments with the Wechsler Adult Intelligence Scale-III (WAIS-III) and Wechsler Memory Scale-Revised (WMS-R) in 26 antiseizure drug-naïve patients with late-onset TLE, in comparison to 30 healthy subjects. We investigated the relationships between these cognitive function scores and clinical characteristics, seizure frequency, and frequency of interictal epileptic discharges (IEDs). RESULTS Patients with epilepsy had a significantly lower score than healthy controls in the verbal intelligence quotient (IQ), the performance IQ, and full-scale IQ in intelligence testing. Patients showed significantly decrease in the verbal memory scores, visual memory scores, general memory scores, and delayed recall scores compared with those in the control subjects. Delayed recall scores were significantly negatively correlated with recent seizure frequency and the total IEDs count per minute, but not with age of onset or duration of illness. SIGNIFICANCE Patients with antiseizure drug-naïve late-onset TLE displayed cognitive deficits including the domains of memory by using standard clinical neuropsychological test. Patients with late-onset epilepsy need to be considered for cognitive dysfunction at the time of diagnosis of TLE because they may have their daily life and work affected not only by epileptic seizures but also by cognitive deficits. Appearance of seizures and EEG abnormalities may affect the memory function in patients with late-onset TLE.
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Steimel SA, Meisenhelter S, Quon RJ, Camp EJ, Tom R, Bujarski KA, Testorf ME, Song Y, Roth RM, Jobst BC. Accelerated long-term forgetting of recall and recognition memory in people with epilepsy. Epilepsy Behav 2023; 141:109152. [PMID: 36893721 DOI: 10.1016/j.yebeh.2023.109152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 02/17/2023] [Accepted: 02/19/2023] [Indexed: 03/11/2023]
Abstract
PURPOSE Persons with epilepsy (PWE) report memory deficits as one of the most distressing aspects of their disorder. Recently, a long-term memory deficit known as Accelerated Long-Term Forgetting (ALF) has been described in PWE. ALF is characterized by the initial retention of learned information, followed by an accelerated rate of memory decay. However, the rate of ALF varies widely across literature and it is unclear how it impacts different memory retrieval types. The current study aimed to capture the time course of ALF on both free recall and recognition memory using a movie-based task in PWE. METHODS A sample of 30 PWE and 30 healthy comparison (HC) subjects watched a nature documentary and were tested on their recall and recognition of the film's content immediately after viewing and at delays of 24 hours, 48 hours, and 72 hours. Participants also rated the confidence they had in their recognition memory trial responses. RESULTS For recall, PWE exhibit ALF at 72 hours (β = -19.840, SE = 3.743, z(226) = -5.301, p < 0.001). For recognition, PWE had decreased performance compared to controls at the 24-hour (β = -10.165, SE = 4.174, z(224) = -3.166, p = 0.004), 48-hour (β = -8.113, SE = 3.701, z(224) = -2.195, p = 0.044), and 72-hour (β = -10.794, SE = 3.017, z(224) = -3.295, p = 0.003) delays. The PWE group showed positive correlations (tau = 0.165, p < 0.001) between confidence ratings and accuracy, with higher confidence reflecting successful recognition. PWE were 49% less likely to answer either retrieval type correctly at 72 hours (OR 0.51, 95% CI [0.35, 0.74], p < 0.001). Left hemispheric seizure onset decreased the odds of successful retrieval by 88% (OR 0.12, 95% CI [0.01, 0.42], p = 0.019). CONCLUSIONS These findings provide evidence of ALF in PWE, with a differential impact on recall and recognition memory. This further supports the call to include ALF assessments in standard memory evaluations in PWE. Additionally, identifying the neural correlates of ALF in the future will be important in developing targeted therapies to alleviate the burden of memory impairment for PWE.
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Affiliation(s)
- Sarah A Steimel
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA.
| | - Stephen Meisenhelter
- Department of Neurology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA.
| | - Robert J Quon
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA
| | - Edward J Camp
- Department of Neurology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA
| | - Rebecca Tom
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA
| | - Krzysztof A Bujarski
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA; Department of Neurology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA.
| | - Markus E Testorf
- Thayer School of Engineering at Dartmouth College, 15 Thayer Dr, Hanover, NH 03755, USA.
| | - Yinchen Song
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA; Department of Neurology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA.
| | - Robert M Roth
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA; Neuropsychology Program, Department of Psychiatry, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA.
| | - Barbara C Jobst
- Dartmouth College Geisel School of Medicine, 1 Rope Ferry Rd, Hanover, NH 03755, USA; Department of Neurology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766, USA.
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Mukaino T, Uehara T, Yokohama J, Okadome T, Arakawa T, Yokoyama S, Sakata A, Takase KI, Togao O, Akamatsu N, Shigeto H, Isobe N, Kira JI. Atrophy of the hippocampal CA1 subfield relates to long-term forgetting in focal epilepsy. Epilepsia 2022; 63:2623-2636. [PMID: 35892321 DOI: 10.1111/epi.17378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 07/25/2022] [Accepted: 07/25/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The mechanisms underlying accelerated long-term forgetting (ALF) in patients with epilepsy are still under investigation. We examined the contribution of hippocampal subfields and their morphology to long-term memory performance in patients with focal epilepsy. METHODS We prospectively assessed long-term memory and performed magnetic resonance imaging in 80 patients with focal epilepsy (61 with temporal lobe epilepsy and 19 with extratemporal lobe epilepsy) and 30 healthy controls. The patients also underwent electroencephalography recording. Verbal and visuospatial memory was tested 30 seconds, 10 minutes, and 1 week after learning. We assessed the volumes of the whole hippocampus and seven subfields and deformation of the hippocampal shape. The contributions of the hippocampal volumes and shape deformation to long-term forgetting, controlling for confounding factors, including the presence of interictal epileptiform discharges, were assessed by multiple regression analyses. RESULTS Patients with focal epilepsy had lower intelligence quotients and route recall scores at 10 minutes than controls. The focal epilepsy group had smaller volumes of both the right and left hippocampal tails than the control group, but there were no significant group differences for the volumes of the whole hippocampus or other hippocampal subfields. Multiple regression analyses showed a significant association between the left CA1 volume and the 1-week story retention (β = 7.76; Bonferroni-corrected P = 0.044), but this was not found for the whole hippocampus or other subfield volumes. Hippocampal shape analyses revealed that atrophy of the superior-lateral, superior-central, and inferior-medial regions of the left hippocampus, corresponding to CA1 and CA2/3, was associated with the verbal retention rate. SIGNIFICANCE Our results suggest that atrophy of the hippocampal CA1 region and its associated structures disrupts long-term memory consolidation in focal epilepsy. Neuronal cell loss in specific hippocampal subfields could be a key underlying cause of ALF in patients with epilepsy.
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Affiliation(s)
- Takahiko Mukaino
- Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Taira Uehara
- Department of Neurology, School of Medicine, International University of Health and Welfare, Narita, Japan
| | - Jun Yokohama
- Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Toshiki Okadome
- Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Tomomi Arakawa
- Department of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan
| | | | - Ayumi Sakata
- Department of Clinical Chemistry and Laboratory Medicine, Kyushu University Hospital, Fukuoka, Japan
| | | | - Osamu Togao
- Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Naoki Akamatsu
- Department of Neurology, School of Medicine, International University of Health and Welfare, Narita, Japan.,Sleep and Epilepsy Disorders Center, Fukuoka, Fukuoka, Japan
| | - Hiroshi Shigeto
- Division of Medical Technology, Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Noriko Isobe
- Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Jun-Ichi Kira
- Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.,Translational Neuroscience Center, Graduate School of Medicine, and School of Pharmacy at Fukuoka, International University of Health and Welfare, Okawa, Japan.,Department of Neurology, Brain and Nerve Center, Fukuoka Central Hospital, International University of Health and Welfare, Fukuoka, Japan
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Lammers NA, Lugtmeijer S, de Haan EHF, Kessels RPC. Accelerated Long-Term Forgetting: Prolonged Delayed Recognition as Sensitive Measurement for Different Profiles of Long-Term Memory and Metacognitive Confidence in Stroke Patients. J Int Neuropsychol Soc 2022; 28:327-336. [PMID: 33952379 DOI: 10.1017/s1355617721000527] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Deficits in episodic memory are frequently reported after ischemic stroke. In standard clinical care, episodic memory is assessed after a 20-30 min delay, with abnormal memory decay over this period being characterized as rapid forgetting (RF). Previous studies have shown abnormal forgetting over a prolonged interval (days to weeks) despite normal acquisition, referred to as accelerated long-term forgetting (ALF). METHOD We examined whether ALF is present in stroke patients (N = 91) using immediate testing (T1), testing after a short delay (20-30 min, T2), and testing after a prolonged delay (one week, T3). Based on performance compared to matched controls (N = 85), patients were divided into (1) patients without forgetting, (2) patients with RF between T1 and T2, and (3) patients with ALF at T3. Furthermore, confidence ratings were assessed. RESULTS ALF was present in a moderate amount of stroke patients (17%), but ALF was even more prevalent in our stroke sample than RF after a 20-30 min delay (which was found in only 13% of our patients). Patients reported a lower confidence for their responses, independent of their actual performance. CONCLUSIONS Adding a one-week delayed measurement may potentially assist in identifying patients with memory decrements that may otherwise go undetected.
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Affiliation(s)
- Nikki A Lammers
- University of Amsterdam, Department of Brain and Cognition, Amsterdam, The Netherlands
- Amsterdam University Medical Center, Department of Neurology, Amsterdam, The Netherlands
| | - Selma Lugtmeijer
- University of Amsterdam, Department of Brain and Cognition, Amsterdam, The Netherlands
- Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
| | - Edward H F de Haan
- University of Amsterdam, Department of Brain and Cognition, Amsterdam, The Netherlands
| | - Roy P C Kessels
- Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
- Vincent van Gogh Institute for Psychiatry, Venray, the Netherlands
- Radboud Universit Medical Center, Department of Medical Psychology and Radboudumc Alzheimer Center, Nijmegen, the Netherlands
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Joplin S, Gascoigne M, Barton B, Webster R, Gill D, Lawson JA, Mandalis A, Sabaz M, McLean S, Gonzalez L, Smith ML, Lah S. Accelerated long-term forgetting in children with temporal lobe epilepsy: A timescale investigation of material specificity and executive skills. Epilepsy Behav 2022; 129:108623. [PMID: 35259627 DOI: 10.1016/j.yebeh.2022.108623] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 02/10/2022] [Accepted: 02/10/2022] [Indexed: 11/15/2022]
Abstract
Recently, children with temporal lobe epilepsy (TLE) were found to be at risk of accelerated long-term forgetting (ALF). In this study, we examined the temporal trajectory of ALF, while exploring the relationship between ALF, executive skills, and epilepsy variables. Fifty-one children, (23 with TLE and 28 typically developing) completed a battery of neuropsychological tests of verbal and visual memory, executive skills, and two experimental memory tasks (verbal and visual) involving recall after short (30-min) and extended (1-day and 2-week) delays. Side of seizure focus and hippocampal integrity were considered. On the visual task (Scene Memory), children with TLE performed comparably to typically developing children following a 30-min and 1-day delay, although worse than typically developing children at 2 weeks: ALF was observed in children with right TLE focus. The two groups did not differ on the experimental verbal memory task. Children with TLE also had worse performance than typically developing children on standardized verbal memory test and on tests of executive skills (i.e., verbal generativity, inhibition, working memory, complex attention). Only complex attention was associated with visual ALF. ALF was present for visuo-spatial materials in children with TLE at two weeks, and children with right TLE were most susceptible. A relationship was identified between complex attention and long-term forgetting. The findings extend our understanding of difficulties in long-term memory formation experienced by children with TLE.
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Affiliation(s)
- Samantha Joplin
- School of Psychology, The University of Sydney, NSW 2006, Australia.
| | - Michael Gascoigne
- School of Psychology and Translational Health Research Institute, Western Sydney University, NSW 2751, Australia
| | - Belinda Barton
- Children's Hospital Education Research Institute and the Kids Neuroscience Centre, The Children's Hospital at Westmead, NSW 2145, Australia; Children's Hospital Westmead Clinical School, Westmead, NSW 2145, Australia
| | - Richard Webster
- TY Nelson Department of Neurology, Kids Neuroscience Centre, The Children's Hospital at Westmead, NSW 2145, Australia
| | - Deepak Gill
- TY Nelson Department of Neurology, Kids Neuroscience Centre, The Children's Hospital at Westmead, NSW 2145, Australia
| | - John A Lawson
- School of Women and Children's Health, UNSW, Department of Neurology SCHN, Randwick, NSW 2031, Australia
| | - Anna Mandalis
- Department of Psychology, Sydney Children's Hospital, Randwick, NSW 2031, Australia
| | - Mark Sabaz
- Department of Psychology, Sydney Children's Hospital, Randwick, NSW 2031, Australia
| | - Samantha McLean
- TY Nelson Department of Neurology, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia
| | - Linda Gonzalez
- Brain and Mind, Murdoch Children's Research Institute, Melbourne, VIC 3052, Australia
| | - Mary-Lou Smith
- Department of Psychology, University of Toronto Mississauga and Neurosciences and Mental Health Program, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
| | - Suncica Lah
- School of Psychology, The University of Sydney, NSW 2006, Australia.
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10
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Puteikis K, Wolf P, Mameniškienė R. Accelerated long-term forgetting in adult patients with genetic generalized epilepsy. Epilepsia 2021; 63:474-482. [PMID: 34893974 DOI: 10.1111/epi.17144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 11/24/2021] [Accepted: 11/29/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Accelerated long-term forgetting (ALF) has been demonstrated among children but not adults with genetic generalized epilepsy (GGE). We investigated (1) how forgetting patterns of verbal and visuospatial material differ between patients with GGE and healthy controls (HCs) and (2) whether ALF is associated with ictal or interictal epileptic activity. METHODS Forty-two patients with GGE (39, 92.9% experiencing seizures) were compared to 57 HCs in word, logical story, and Rey-Osterrieth complex figure recall tasks by testing after intervals of 30 min and 4 weeks. Ambulatory electroencephalography (EEG) was performed before testing to detect generalized epileptic activity, and patients were asked to document the number of seizures during the 4-week interval. RESULTS A two-way repeated measures ANOVA indicated that individuals with GGE have different forgetting patterns in comparison to HCs in tasks of word (delay by group interaction F1.5, 142.5 = 4.5, p = .02, η p 2 = .04) and figure (F2, 194 = 15.9, p < .001, η p 2 = .14) but not story (F1.6 151.1 = .5, p = .58, η p 2 = .005) recall. Last learning trial-adjusted scores of word recall were comparable between HCs and patients with epilepsy (PWEs) at 30 min (p = .21) but not at 4 weeks (p = .006). Individuals with GGE performed worse than HCs in figure recall at 30 min and 4 weeks (p < .001), with lower performance after the 4-week interval present only among seizure-positive and EEG-positive individuals (p < .001) during subgroup analysis. Performance on memory tests was unrelated to overall seizure frequency, the number of antiseizure drugs used, and epilepsy duration. SIGNIFICANCE Our study supports the presence of ALF in a task of word recall among adult patients with GGE. The pattern of forgetting visuospatial information suggests greater forgetting of material before the first delay and ongoing deficits among PWEs with epileptic activity. Future studies should confirm our findings and investigate the functional or pathological mechanisms of memory dysfunction in GGE.
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Affiliation(s)
| | - Peter Wolf
- Center for Neurology, Vilnius University, Vilnius, Lithuania.,Danish Epilepsy Center Filadelfia, Dianalund, Denmark.,Postgraduation Program of Medical Sciences, Santa Catarina Federal University, Florianópolis, Brazil
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11
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The Impact of Right Temporal Lobe Epilepsy On Nonverbal Memory: Meta-regression of Stimulus- and Task-related Moderators. Neuropsychol Rev 2021; 32:537-557. [PMID: 34559363 DOI: 10.1007/s11065-021-09514-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 05/24/2021] [Indexed: 11/08/2022]
Abstract
Nonverbal memory tests have great potential value for detecting the impact of lateralized pathology and predicting the risk of memory loss following right temporal lobe resection (TLR) for temporal lobe epilepsy (TLE) patients, but this potential has not been realized. Previous reviews suggest that stimulus type moderates the capacity of nonverbal memory tests to detect right-lateralized pathology (i.e., faces > designs), but the roles of other task-related factors have not been systematically explored. We address these limitations using mixed model meta-regression (k = 158) of right-lateralization effects (right worse than left TLE) testing the moderating effects of: 1) stimulus type (designs, faces, spatial), 2) learning format (single trial, repeated trials), 3) testing delay (immediate or long delay), and 4) testing format (recall, recognition) for three patient scenarios: 1) presurgical, 2) postsurgical, and 3) postsurgical change. Stimulus type significantly moderated the size of the right-lateralization effect (faces > designs) for postsurgical patients, test format moderated the size of the right-lateralization effect for presurgical-postsurgical change (recognition > recall) but learning format and test delay had no right-lateralization effect for either sample. For presurgical patients, none of the task-related factors significantly increased right-lateralization effects. This comprehensive review reveals the value of recognition testing in gauging the risk of nonverbal memory decline.
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12
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Accelerated forgetting in temporal lobe epilepsy: When does it occur? Cortex 2021; 141:190-200. [PMID: 34058619 DOI: 10.1016/j.cortex.2021.03.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 02/24/2021] [Accepted: 03/30/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE The main goal of the study was to analyse differences in the forgetting rates of Temporal Lobe Epilepsy (TLE) patients at different intervals (30 sec, 10 min, 1 day and 1 week) compared with those of healthy controls. A secondary aim of this research was to provide an assessment of the relationship between clinical epilepsy-related variables and forgetting rates in TLE patients. METHOD The sample was composed of 14 TLE patients and 14 healthy matched controls. All participants underwent a full standardised neuropsychological assessment including general intelligence, executive functioning, memory, language and other variables, such as depression, anxiety or everyday memory failures. Two specific memory tasks, consisting of cued recall of 4 short stories and 4 routes, were carried out at four different intervals. RESULTS There was a significant difference between groups at 10-min interval on the stories task, with the TLE group displaying greater forgetting than healthy controls. None of the other intervals on either task showed significant group differences. No differences were found when controlling for clinical epilepsy-related variables. CONCLUSION Forgetting of verbal information at 10 min was greater in patients with TLE compared with controls, but accelerated longer term forgetting was not found. This study suggests that a late consolidation process is not necessarily impaired in TLE patients.
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13
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Baker J, Savage S, Milton F, Butler C, Kapur N, Hodges J, Zeman A. The syndrome of transient epileptic amnesia: a combined series of 115 cases and literature review. Brain Commun 2021; 3:fcab038. [PMID: 33884371 PMCID: PMC8047097 DOI: 10.1093/braincomms/fcab038] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 01/26/2021] [Accepted: 01/28/2021] [Indexed: 12/24/2022] Open
Abstract
The term transient epileptic amnesia was coined in 1990 to describe a form of epilepsy causing predominantly amnestic seizures which could be confused with episodes of Transient Global Amnesia. Subsequent descriptions have highlighted its association with ‘atypical’ forms of memory disturbance including accelerated long-term forgetting, disproportionate autobiographical amnesia and topographical amnesia. However, this highly treatment-responsive condition remains under-recognized and undertreated. We describe the clinical and neuropsychological features in 65 consecutive cases of transient epileptic amnesia referred to our study, comparing these to our previous cohort of 50 patients and to those reported in 102 literature cases described since our 2008 review. Findings in our two cohorts are substantially consistent: The onset of transient epileptic amnesia occurs at an average age of 62 years, giving rise to amnestic episodes at a frequency of around 1/month, typically lasting 15–30 min and often occurring on waking. Amnesia is the only manifestation of epilepsy in 24% of patients; olfactory hallucinations occur in 43%, motor automatisms in 41%, brief unresponsiveness in 39%. The majority of patients describe at least one of the atypical forms of memory disturbance mentioned above; easily provoked tearfulness is a common accompanying feature. There is a male predominance (85:30). Epileptiform changes were present in 35% of cases, while suspected causative magnetic resonance imaging abnormalities were detected in only 5%. Seizures ceased with anticonvulsant treatment in 93% of cases. Some clinical features were detected more commonly in the second series than the first, probably as a result of heightened awareness. Neuropsychological testing and comparison to two age and IQ-matched control groups (n = 24 and 22) revealed consistent findings across the two cohorts, namely elevated mean IQ, preserved executive function, mild impairment at the group level on standard measures of memory, with additional evidence for accelerated long-term forgetting and autobiographical amnesia, particularly affecting episodic recollection. Review of the literature cases revealed broadly consistent features except that topographical amnesia, olfactory hallucinations and emotionality have been reported rarely to date by other researchers. We conclude that transient epileptic amnesia is a distinctive syndrome of late-onset limbic epilepsy of unknown cause, typically occurring in late middle age. It is an important, treatable cause of memory loss in older people, often mistaken for dementia, cerebrovascular disease and functional amnesia. Its aetiology, the monthly occurrence of seizures in some patients and the mechanisms and interrelationships of the interictal features—amnestic and affective—all warrant further study.
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Affiliation(s)
- John Baker
- Cognitive & Behavioural Neurology, University of Exeter Medical School, College House, St Luke's Campus, Exeter EX1 2LU, UK
| | - Sharon Savage
- Cognitive & Behavioural Neurology, University of Exeter Medical School, College House, St Luke's Campus, Exeter EX1 2LU, UK.,School of Psychology, University of Newcastle, New South Wales 2308, Australia
| | - Fraser Milton
- Discipline of Psychology, University of Exeter, Washington Singer Laboratories, Exeter EX4 4QG, UK
| | - Christopher Butler
- Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK.,Department of Brain Sciences, Imperial College, London W12 0NN, UK.,Departamento de Neurología, Pontificia Universidad Católica de Chile, Santiago 833007, Chile
| | - Narinder Kapur
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK
| | - John Hodges
- Brain and Mind Centre, University of Sydney, Sydney 2050, Australia
| | - Adam Zeman
- Cognitive & Behavioural Neurology, University of Exeter Medical School, College House, St Luke's Campus, Exeter EX1 2LU, UK
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14
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van Schalkwijk FJ, Gruber WR, Miller LA, Trinka E, Höller Y. Investigating the Effects of Seizures on Procedural Memory Performance in Patients with Epilepsy. Brain Sci 2021; 11:brainsci11020261. [PMID: 33669626 PMCID: PMC7922212 DOI: 10.3390/brainsci11020261] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 02/08/2021] [Accepted: 02/16/2021] [Indexed: 11/16/2022] Open
Abstract
Memory complaints are frequently reported by patients with epilepsy and are associated with seizure occurrence. Yet, the direct effects of seizures on memory retention are difficult to assess given their unpredictability. Furthermore, previous investigations have predominantly assessed declarative memory. This study evaluated within-subject effects of seizure occurrence on retention and consolidation of a procedural motor sequence learning task in patients with epilepsy undergoing continuous monitoring for five consecutive days. Of the total sample of patients considered for analyses (N = 53, Mage = 32.92 ± 13.80 y, range = 18–66 y; 43% male), 15 patients experienced seizures and were used for within-patient analyses. Within-patient contrasts showed general improvements over seizure-free (day + night) and seizure-affected retention periods. Yet, exploratory within-subject contrasts for patients diagnosed with temporal lobe epilepsy (n = 10) showed that only seizure-free retention periods resulted in significant improvements, as no performance changes were observed following seizure-affected retention. These results indicate general performance improvements and offline consolidation of procedural memory during the day and night. Furthermore, these results suggest the relevance of healthy temporal lobe functioning for successful consolidation of procedural information, as well as the importance of seizure control for effective retention and consolidation of procedural memory.
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Affiliation(s)
- Frank J. van Schalkwijk
- Christian Doppler Medical Centre and Centre for Cognitive Neuroscience, Department of Neurology, Paracelsus Medical University, 5020 Salzburg, Austria; (F.J.v.S.); (E.T.)
| | - Walter R. Gruber
- Centre for Cognitive Neuroscience (CCNS), Department of Psychology, University of Salzburg, 5020 Salzburg, Austria;
| | - Laurie A. Miller
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital and Central Medical School, University of Sydney, Camperdown, Sydney, NSW 2050, Australia;
- ARC Centre of Excellence in Cognition and Its Disorders, University of Sydney, Camperdown, Sydney, NSW 2006, Australia
| | - Eugen Trinka
- Christian Doppler Medical Centre and Centre for Cognitive Neuroscience, Department of Neurology, Paracelsus Medical University, 5020 Salzburg, Austria; (F.J.v.S.); (E.T.)
| | - Yvonne Höller
- Christian Doppler Medical Centre and Centre for Cognitive Neuroscience, Department of Neurology, Paracelsus Medical University, 5020 Salzburg, Austria; (F.J.v.S.); (E.T.)
- Faculty of Psychology, University of Akureyri, 600 Akureyri, Iceland
- Correspondence: ; Tel.: +35-044-608-576
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15
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Lambert I, Tramoni-Negre E, Lagarde S, Pizzo F, Trebuchon-Da Fonseca A, Bartolomei F, Felician O. Accelerated long-term forgetting in focal epilepsy: Do interictal spikes during sleep matter? Epilepsia 2021; 62:563-569. [PMID: 33476422 DOI: 10.1111/epi.16823] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 12/19/2020] [Accepted: 01/05/2021] [Indexed: 12/21/2022]
Abstract
Accelerated long-term forgetting (ALF) is a particular form of amnesia mostly encountered in focal epilepsy, particularly in temporal lobe epilepsy. This type of memory loss is characterized by an impairment of long-term consolidation of declarative memory, and its mechanisms remain poorly understood. In particular, the respective contribution of lesion, seizures, interictal epileptic discharges, and sleep is still debated. Here, we provide an overview of the relationships intertwining epilepsy, sleep, and memory consolidation and, based on recent findings from intracranial electroencephalographic recordings, we propose a model of ALF pathophysiology that integrates the differential role of interictal spikes during wakefulness and sleep. This model provides a framework to account for the different timescales at which ALF may occur.
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Affiliation(s)
- Isabelle Lambert
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Epileptology and Clinical Neurophysiology Department, Timone Hospital, Marseille, France
| | - Eve Tramoni-Negre
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Neurology and Neuropsychology Department, Timone Hospital, Marseille, France
| | - Stanislas Lagarde
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Epileptology and Clinical Neurophysiology Department, Timone Hospital, Marseille, France
| | - Francesca Pizzo
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Epileptology and Clinical Neurophysiology Department, Timone Hospital, Marseille, France
| | - Agnès Trebuchon-Da Fonseca
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Epileptology and Clinical Neurophysiology Department, Timone Hospital, Marseille, France
| | - Fabrice Bartolomei
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Epileptology and Clinical Neurophysiology Department, Timone Hospital, Marseille, France
| | - Olivier Felician
- System Neurosciences Institute, Aix Marseille University, INSERM, INS, Marseille, France.,Neurology and Neuropsychology Department, Timone Hospital, Marseille, France
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16
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A Review of Accelerated Long-Term Forgetting in Epilepsy. Brain Sci 2020; 10:brainsci10120945. [PMID: 33297371 PMCID: PMC7762289 DOI: 10.3390/brainsci10120945] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 11/30/2020] [Accepted: 12/03/2020] [Indexed: 11/16/2022] Open
Abstract
Accelerated long-term forgetting (ALF) is a memory disorder that manifests by a distinct pattern of normal memory for up to an hour after learning, but an increased rate of forgetting during the subsequent hours and days. The topic of ALF has gained much attention in group studies with epilepsy patients and the phenomenon has been shown to have contradictory associations with seizures, epileptiform activity, imaging data, sleep, and antiepileptic medication. The aim of this review was to explore how clinical and imaging data could help determine the topographic and physiological substrate of ALF, and what is the possible use of this information in the clinical setting. We have reviewed 51 group studies in English to provide a synthesis of the existing findings concerning ALF in epilepsy. Analysis of recently reported data among patients with temporal lobe epilepsy, transient epileptic amnesia, and generalized and extratemporal epilepsies provided further indication that ALF is likely a disorder of late memory consolidation. The spatial substrate of ALF might be located along the parts of the hippocampal-neocortical network and novel studies reveal the increasingly possible importance of damage in extrahippocampal sites. Further research is needed to explore the mechanisms of cellular impairment in ALF and to develop effective methods of care for patients with the disorder.
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17
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Joplin S, Webster R, Gill D, Barton B, Lawson JA, Mandalis A, Sabaz M, Gascoigne M, Lah S. Accelerated long-term forgetting in children with genetic generalized epilepsy: The temporal trajectory and contribution of executive skills. Epilepsy Behav 2020; 113:107471. [PMID: 33142199 DOI: 10.1016/j.yebeh.2020.107471] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 09/01/2020] [Indexed: 11/18/2022]
Abstract
PURPOSE Long-term memory, which is critical for social and vocational functioning, is impaired in children with genetic generalized epilepsy (GGE). In this study, we examined the relationship between the temporal pattern of long-term forgetting for visual and verbal materials and executive skills in children with GGE. METHOD Thirty-two children, 17 with GGE and 25 typically developing age-matched controls completed standardized tests of short-term memory (recall after a 30-minute delay), executive skills, and experimental long-term memory tasks (one verbal and one visual) involving recall after one short (30-minute), and two long (1-day, 2-week) delays. RESULTS On the long-term visual memory task, children with GGE performed comparably with typically developing children at a 30-minute delay (p = .298), although obtained lower object placement accuracy score, at 1 day (p = .039) and at 2 weeks (p = .022) relative to typically developing children. On the verbal task, the between-group difference was not significant at any delay. In children with GGE, poorer object placement accuracy at two weeks correlated with lower visuospatial short-term memory (r = -0.624, p = .005) and verbal working memory (r = -0.448, p = .041). CONCLUSIONS This study provided several novel findings. For the first time, accelerated long-term forgetting (ALF) was found in long-term visual memory in children with GGE, despite comparable learning and recall at 30 min. Study results indicated that deficits in long-term visual memory are present after one day, increase over time, and may relate to reduced executive skills. Our findings can be used to inform our understanding of the temporal trajectory of ALF and contribution of executive skills.
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Affiliation(s)
- Samantha Joplin
- School of Psychology, The University of Sydney, NSW 2006, Australia
| | - Richard Webster
- T. Y. Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead, Sydney, Australia
| | - Deepak Gill
- T. Y. Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead, Sydney, Australia
| | - Belinda Barton
- Children's Hospital Education Research Institute, The Children's Hospital at Westmead, Sydney, Australia; Discipline of Paediatrics and Child Health, Faculty of Medicine, The University of Sydney, Australia
| | - John A Lawson
- Department of Neurology, Sydney Children's Hospital, Sydney, Australia
| | - Anna Mandalis
- Department of Psychology, Sydney Children's Hospital, Sydney, Australia
| | - Mark Sabaz
- Department of Psychology, Sydney Children's Hospital, Sydney, Australia
| | - Michael Gascoigne
- School of Psychology, The University of Sydney, NSW 2006, Australia; School of Psychological Sciences, Australian College of Applied Psychology, Sydney, Australia
| | - Suncica Lah
- School of Psychology, The University of Sydney, NSW 2006, Australia.
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18
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Lee A, Lah S, Joplin S, Haroutonian C, Pye J, Mowszowski L, Duffy SL, Naismith SL. Actigraphy-recorded sleep efficiency and hippocampal volume are related to visual and verbal rate of forgetting in older adults. AGING NEUROPSYCHOLOGY AND COGNITION 2020; 28:936-958. [PMID: 33141652 DOI: 10.1080/13825585.2020.1842849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study aimed to determine if older adults "at-risk" for dementia (those with MCI or SMC) exhibit accelerated long-term forgetting (ALF) and whether rate of forgetting (RoF) is associated with sleep efficiency, hippocampal volume and demographic/clinical features. Forty-nine "at-risk" participants and eighteen controls underwent examination. Memory was assessed using the Scene Memory Task (SMT) and WMS-III Logical Memory (LM) subtest. Tests were administered at baseline, 24 hours and 2 weeks. While our study did not find ALF in those "at-risk" for dementia, on the SMT, RoF over 24 hours and 2 weeks was negatively correlated with sleep efficiency. For LM, RoF at 2 weeks was moderately associated with left hippocampal volume. Neither visual or verbal RoF was correlated with demographic or clinical variables (age, MMSE, IQ, GDS-15). While ALF was not observed in this sample, our results suggest that visual and verbal forgetting have differential predictors.
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Affiliation(s)
- Alessandra Lee
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia
| | - Suncica Lah
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia
| | - Samantha Joplin
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia
| | - Carla Haroutonian
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.,Neurosleep, Australian National Health and Medical Research Council Centre of Research Excellence, Sydney, Australia
| | - Jonathon Pye
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia
| | - Loren Mowszowski
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.,Neurosleep, Australian National Health and Medical Research Council Centre of Research Excellence, Sydney, Australia
| | - Shantel L Duffy
- Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.,Neurosleep, Australian National Health and Medical Research Council Centre of Research Excellence, Sydney, Australia
| | - Sharon L Naismith
- School of Psychology, The University of Sydney, Camperdown, NSW, Australia.,Healthy Brain Ageing Program, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.,Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.,Neurosleep, Australian National Health and Medical Research Council Centre of Research Excellence, Sydney, Australia
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19
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Beilharz JE, Thayer Z, Nikpour A, Lah S. Accelerated long-term forgetting is not evident in adults with genetic generalized epilepsy irrespective of the paradigm used. Epilepsy Behav 2020; 104:106920. [PMID: 32035340 DOI: 10.1016/j.yebeh.2020.106920] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 01/10/2020] [Accepted: 01/17/2020] [Indexed: 10/24/2022]
Abstract
Accelerated long-term forgetting (ALF) is a recently discovered memory disorder characterized by intact acquisition and retention over short delays, followed by abnormally fast rates of forgetting. Accelerated long-term forgetting has been repeatedly found in children, but not in adults, with genetic generalized epilepsy (GGE). It is possible that this discrepancy is due to a difference in paradigms used in these studies. The current study aimed to determine whether adults with GGE displayed ALF using two paradigms, one that required complete learning and another one that did not. In addition, we explored the relationships with everyday memory difficulties, working memory, mood, and epilepsy variables. Fourteen adults with GGE were compared with 16 healthy controls on two verbal memory tests: a modified version of the California Verbal Learning Test learned to a criterion of 100% (complete learning) and Logical Memory from the Wechsler Memory Scale (Fourth Edition) presented only once (incomplete learning). Recall was tested at 2 min, 30 min, and 1 week, and recognition at 1 week only. Working memory, everyday memory, and mood were also assessed. We found no evidence of ALF on either of the two verbal memory paradigms on recall or recognition tests although patients displayed significantly poorer working memory. Moreover, patients with GGE reported significantly more memory difficulties in everyday life, and these were associated with greater mood disturbances but not with memory tests scores. Greater number of antiepileptic drugs and epilepsy severity also related to memory scores on some tests. Our study suggests that a difference in paradigms used to investigate ALF in children and adults with GGE is unlikely to explain the differences in findings. The study tentatively raises a hypothesis that developmental factors may play a role in ALF in patients with GGE; children with GGE may grow out of ALF. Nevertheless, this hypothesis would need to be tested in a longitudinal study that would follow patients from childhood to early adulthood.
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Affiliation(s)
| | - Zoe Thayer
- Neurology Department, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia
| | - Armin Nikpour
- Neurology Department, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia
| | - Suncica Lah
- School of Psychology, University of Sydney, Sydney, NSW 2006, Australia.
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20
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Polat B, Yılmaz NH, Mantar N, Cadirci F, Sitrava S, Ozmansur EN, Uzan M, Özkara C, Hanoglu L. Accelerated long-term forgetting after amygdalohippocampectomy in temporal lobe epilepsy. J Clin Neurosci 2020; 72:43-49. [PMID: 31956086 DOI: 10.1016/j.jocn.2020.01.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Accepted: 01/05/2020] [Indexed: 10/25/2022]
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21
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Hanoğlu L, Ercan FB, Mantar N, Helvacı Yılmaz N, Sitrava S, Özer F, Yuluğ B. Accelerated forgetting and verbal memory consolidation process in idiopathic nondement Parkinson's disease. J Clin Neurosci 2019; 70:208-213. [PMID: 31473091 DOI: 10.1016/j.jocn.2019.08.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 08/04/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Episodic memory impairment and underlying pathophysiology in Parkinson's Disease (PD) is poorly investigated. Formerly, it was thought to be a secondary effect of impairment in fronto-striatal circuit. However, recent studies hypothesized that there is a dual progression of PD and memory loss is possibly related to posterior cortex rather than frontal. To understand the impairment, underlying mechanisms should be investigated. Although consolidation is one of these mechanisms consolidation phase of episodic memory in PD was not investigated yet. Recently accelerated long term forgetting (ALF) phenomenon is emphasized in consolidation researches. METHOD Here it is evaluated the presence of accelerated long-term forgetting in nondemented PD as a consequence of a deficit in consolidation process. 32 patients and 33 controls participated in the study. Turkish Verbal Memory Process Test (VMPT) was applied to both groups. Delayed recall (DR) scores collected after 30 min, one week and six weeks. Forgetting rates were calculated based on these scores. RESULTS There was significant difference in DR scores of patients compared to controls in the 30th minute and sixth week. Forgetting rate between 30th minute-1st week did not differ but 1st-6th week was found statistically significant across groups. CONCLUSIONS To the best of our knowledge, this is the first study investigating verbal memory consolidation in PD. Results suggested that impairment is possibly related to the late phase of consolidation of verbal memory in neocortex.
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Affiliation(s)
- L Hanoğlu
- Istanbul Medipol University, Institute of Medical Science, Department of Neuroscience, Istanbul, Turkey; Istanbul Medipol University, REMER, Clinical Electrophysiology, Neuroimaging and Neuromodulation Laboratory, Istanbul, Turkey; Istanbul Medipol University, School of Medicine, Department of Neurology, Istanbul, Turkey
| | - F B Ercan
- Istanbul Medipol University, Institute of Medical Science, Department of Neuroscience, Istanbul, Turkey.
| | - N Mantar
- Istanbul Medipol University, Institute of Medical Science, Department of Neuroscience, Istanbul, Turkey
| | - N Helvacı Yılmaz
- Istanbul Medipol University, School of Medicine, Department of Neurology, Istanbul, Turkey
| | - S Sitrava
- Istanbul Medipol University, Psychological Counseling Center, Istanbul, Turkey
| | - F Özer
- Koç University, Topkapı Hospital, Department of Neurology, Istanbul, Turkey
| | - B Yuluğ
- Alanya University, Faculty of Medicine, Department of Neurology, Antalya, Turkey
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22
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Accelerated long-term forgetting in resected and seizure-free temporal lobe epilepsy patients. Cortex 2019; 110:80-91. [DOI: 10.1016/j.cortex.2018.02.017] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 01/17/2018] [Accepted: 02/27/2018] [Indexed: 11/19/2022]
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23
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Mayes AR, Hunkin NM, Isaac C, Muhlert N. Are there distinct forms of accelerated forgetting and, if so, why? Cortex 2019; 110:115-126. [DOI: 10.1016/j.cortex.2018.04.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 09/05/2017] [Accepted: 04/08/2018] [Indexed: 12/14/2022]
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24
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Audrain S, McAndrews MP. Cognitive and functional correlates of accelerated long-term forgetting in temporal lobe epilepsy. Cortex 2019; 110:101-114. [DOI: 10.1016/j.cortex.2018.03.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 12/24/2017] [Accepted: 03/19/2018] [Indexed: 02/07/2023]
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25
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Gascoigne MB, Smith ML, Barton B, Webster R, Gill D, Lah S. Accelerated long-term forgetting and behavioural difficulties in children with epilepsy. Cortex 2019; 110:92-100. [DOI: 10.1016/j.cortex.2018.03.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 08/19/2017] [Accepted: 03/19/2018] [Indexed: 11/24/2022]
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Hoefeijzers S, Zeman A, Della Sala S, Dewar M. Capturing real-life forgetting in transient epileptic amnesia via an incidental memory test. Cortex 2019; 110:47-57. [DOI: 10.1016/j.cortex.2017.11.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2017] [Revised: 10/30/2017] [Accepted: 11/30/2017] [Indexed: 02/08/2023]
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van Schalkwijk FJ, Ricci M, Nikpour A, Miller LA. The impact of sleep characteristics and epilepsy variables on memory performance in patients with focal seizures. Epilepsy Behav 2018; 87:152-158. [PMID: 30097340 DOI: 10.1016/j.yebeh.2018.06.034] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 06/12/2018] [Accepted: 06/17/2018] [Indexed: 11/19/2022]
Abstract
Disturbed sleep can negatively affect overnight memory retention as well as new learning the subsequent day. In healthy participants, positive associations between memory performance and sleep characteristics (e.g., time spent in slow-wave sleep [SWS]) have been detected. In a previous study, we found that SWS was much reduced in patients with focal seizures, but when correlations between memory complaints and various sleep characteristics were considered, the only significant relationship was with the time to onset of rapid eye movement (REM) sleep (i.e., REM latency). In this study, we investigated the relationships between sleep, epilepsy, and objective memory performance variables. Twenty-five patients with focal seizures had their memory tested while undergoing a two-day ambulatory electroencephalography (EEG). The sleep variables of interest were the percentage of time spent in SWS (%SWS) and REM latency. Epilepsy variables included the presence of (1) seizures, (2) interictal epileptiform discharges, and/or (3) hippocampal lesions as well as site of seizure origin (temporal vs extratemporal). Overnight retention (of autobiographical events, a story, and a complex geometric figure) and the ability to learn a word list on day 2 were the measures of memory. A significant positive correlation was found between word-list learning and %SWS during the previous night. A significant negative correlation was observed between REM latency and overnight retention of autobiographical events. Overnight retention scores for the story and geometric figure were not related to sleep characteristics but were negatively affected by the presence of epileptiform activity. Story retention was also worse for temporal lobe epilepsy (TLE) than for patients with extratemporal epilepsy (ETE). Those with hippocampal lesions were more impaired than those without lesions on word-list learning, autobiographical events' retention, and story retention. When multiple contributing factors were entered into regression analyses, %SWS was found to be the best predictor of subsequent word-list learning, whereas the presence of a hippocampal lesion was the best predictor of overnight retention of autobiographical events and a story. These findings provide further evidence of the ways in which particular sleep characteristics are associated with memory and suggest that treatment of sleep disturbances in patients with epilepsy might be helpful for improving their performance.
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Affiliation(s)
- Frank J van Schalkwijk
- Laboratory for Sleep, Cognition and Consciousness Research, Centre for Cognitive Neuroscience (CCNS), University of Salzburg, Salzburg, Austria; Department of Neurology, Christian Doppler Medical Centre and Centre for Cognitive Neuroscience, Paracelsus Medical University, Salzburg, Austria.
| | - Monica Ricci
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; ARC Centre of Excellence in Cognition and Its Disorders, Sydney Medical School, The University of Sydney, Sydney, Australia
| | - Armin Nikpour
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; ARC Centre of Excellence in Cognition and Its Disorders, Sydney Medical School, The University of Sydney, Sydney, Australia
| | - Laurie A Miller
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; ARC Centre of Excellence in Cognition and Its Disorders, Sydney Medical School, The University of Sydney, Sydney, Australia
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Atherton KE, Filippini N, Zeman AZJ, Nobre AC, Butler CR. Encoding-related brain activity and accelerated forgetting in transient epileptic amnesia. Cortex 2018; 110:127-140. [PMID: 29861041 PMCID: PMC6335262 DOI: 10.1016/j.cortex.2018.04.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Revised: 04/06/2018] [Accepted: 04/30/2018] [Indexed: 12/25/2022]
Abstract
The accelerated forgetting of newly learned information is common amongst patients with epilepsy and, in particular, in the syndrome of transient epileptic amnesia (TEA). However, the neural mechanisms underlying accelerated forgetting are poorly understood. It has been hypothesised that interictal epileptiform activity during longer retention intervals disrupts normally established memory traces. Here, we tested a distinct hypothesis-that accelerated forgetting relates to the abnormal encoding of memories. We studied a group of 15 patients with TEA together with matched, healthy control subjects. Despite normal performance on standard anterograde memory tasks, patients showed accelerated forgetting of a word list over one week. We used a subsequent memory paradigm to compare encoding-related brain activity in patients and controls. Participants studied a series of visually presented scenes whilst undergoing functional MRI scanning. Recognition memory for these scenes was then probed outside the scanner after delays of 45 min and of 4 days. Patients showed poorer memory for the scenes compared with controls. In the patients but not the controls, subsequently forgotten stimuli were associated with reduced hippocampal activation at encoding. Furthermore, patients demonstrated reduced deactivation of posteromedial cortex regions upon viewing subsequently remembered stimuli as compared to subsequently forgotten ones. These data suggest that abnormal encoding-related activity in key memory areas of the brain contributes to accelerated forgetting in TEA. We propose that abnormally encoded memory traces may be particularly vulnerable to interference from subsequently encountered material and hence be forgotten more rapidly. Our results shed light on the mechanisms underlying memory impairment in epilepsy, and offer support to the proposal that accelerated forgetting may be a useful marker of subtle dysfunction in memory-related brain systems.
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Affiliation(s)
- Kathryn E Atherton
- Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, UK; Department of Experimental Psychology and Oxford Centre for Human Brain Activity, Wellcome Centre for Integrative Neuroimaging, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Nicola Filippini
- Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, UK
| | - Adam Z J Zeman
- Cognitive & Behavioural Neurology, University of Exeter Medical School, Exeter, UK
| | - Anna C Nobre
- Department of Experimental Psychology and Oxford Centre for Human Brain Activity, Wellcome Centre for Integrative Neuroimaging, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Christopher R Butler
- Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, UK.
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Zeman A, Byruck M, Tallis P, Vossel K, Tranel D. Touching the void – First and third person perspectives in two cases of autobiographical amnesia linked to temporal lobe epilepsy. Neuropsychologia 2018; 110:55-64. [DOI: 10.1016/j.neuropsychologia.2017.07.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Revised: 06/07/2017] [Accepted: 07/09/2017] [Indexed: 10/19/2022]
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Lah S, Black C, Gascoigne MB, Gott C, Epps A, Parry L. Accelerated Long-Term Forgetting Is Not Epilepsy Specific: Evidence from Childhood Traumatic Brain Injury. J Neurotrauma 2017; 34:2536-2544. [DOI: 10.1089/neu.2016.4872] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Suncica Lah
- School of Psychology, The University of Sydney, Sydney, New South Wales, Australia
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, New South Wales, Australia
| | - Carly Black
- School of Psychology, The University of Sydney, Sydney, New South Wales, Australia
| | - Michael B. Gascoigne
- School of Psychology, The University of Sydney, Sydney, New South Wales, Australia
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, New South Wales, Australia
| | - Chloe Gott
- School of Psychology, The University of Sydney, Sydney, New South Wales, Australia
| | - Adrienne Epps
- Brain Injury Rehabilitation Program, Rehab2Kids, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Louise Parry
- Brain Injury Rehabilitation Program, Rehab2Kids, Sydney Children's Hospital, Randwick, New South Wales, Australia
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Tramoni-Negre E, Lambert I, Bartolomei F, Felician O. Long-term memory deficits in temporal lobe epilepsy. Rev Neurol (Paris) 2017; 173:490-497. [DOI: 10.1016/j.neurol.2017.06.011] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2017] [Accepted: 06/15/2017] [Indexed: 11/25/2022]
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Miller LA, Mothakunnel A, Flanagan E, Nikpour A, Thayer Z. Accelerated Long Term Forgetting in patients with focal seizures: Incidence rate and contributing factors. Epilepsy Behav 2017; 72:108-113. [PMID: 28575758 DOI: 10.1016/j.yebeh.2017.04.039] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 03/21/2017] [Accepted: 04/22/2017] [Indexed: 11/16/2022]
Abstract
BACKGROUND Accelerated Long Term Forgetting (ALF) is usually defined as a memory impairment that is seen only at long delays (e.g., after days or weeks) and not at shorter delays (e.g., 30min) typically used in clinical settings. Research indicates that ALF occurs in some patients with epilepsy, but the incidence rates and underlying causes have not been established. In this study, we considered these issues. METHODS Forty-four patients with a history of focal seizures were tested at 30min and 7day delays for material from the Rey Auditory Verbal Learning Test (RAVLT) and Aggie Figures Test. Recently published norms from a matched group of 60 control subjects (Miller et al., 2015 ) were used to determine whether patients demonstrated ALF, impairment at 30min or intact memory performance. RESULTS The incidence of ALF in the epilepsy patients (18%) was >3 times higher than normal on the RAVLT, but no different (7%) from the incidence in normal subjects on the Aggie Figures. A different, but again significantly high, proportion of patients (36%) showed shorter-term memory deficits on at least one task. ALF was found mainly in patients with temporal-lobe epilepsy, but also occurred in one patient with an extratemporal seizure focus. Presence of a hippocampal lesion was the main predicting factor of ALF. CONCLUSIONS Many patients with a focal seizure disorder show memory deficits after longer delays that are not evident on standard assessment. The present study explored the factors associated with this ALF memory profile. These new findings will enhance clinical practice, particularly the management of patients with memory complaints.
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Affiliation(s)
- Laurie A Miller
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, and Central Medical School, University of Sydney, Camperdown, NSW, Australia; ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia.
| | - Annu Mothakunnel
- ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia; Neuroscience Research Australia, Sydney, NSW, Australia
| | - Emma Flanagan
- Neuroscience Research Australia, Sydney, NSW, Australia; Norwich Medical School, University of East Anglia, Norwich, United Kingdom
| | - Armin Nikpour
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, and Central Medical School, University of Sydney, Camperdown, NSW, Australia; ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia
| | - Zoe Thayer
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, and Central Medical School, University of Sydney, Camperdown, NSW, Australia; ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia
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Krámská L, Vojtěch Z, Lukavský J, Stará M, Malíková H. Five-Year Neuropsychological Outcome after Stereotactic Radiofrequency Amygdalohippocampectomy for Mesial Temporal Lobe Epilepsy: Longitudinal Study. Stereotact Funct Neurosurg 2017; 95:149-157. [DOI: 10.1159/000468527] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Accepted: 03/02/2017] [Indexed: 11/19/2022]
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Atherton KE, Nobre AC, Lazar AS, Wulff K, Whittaker RG, Dhawan V, Lazar ZI, Zeman AZ, Butler CR. Slow wave sleep and accelerated forgetting. Cortex 2016; 84:80-89. [PMID: 27710778 PMCID: PMC5084685 DOI: 10.1016/j.cortex.2016.08.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 07/04/2016] [Accepted: 08/29/2016] [Indexed: 12/12/2022]
Abstract
We investigated whether the benefit of slow wave sleep (SWS) for memory consolidation typically observed in healthy individuals is disrupted in people with accelerated long-term forgetting (ALF) due to epilepsy. SWS is thought to play an active role in declarative memory in healthy individuals and, furthermore, electrographic epileptiform activity is often more prevalent during SWS than during wakefulness or other sleep stages. We studied the relationship between SWS and the benefit of sleep for memory retention using a word-pair associates task. In both the ALF and the healthy control groups, sleep conferred a memory benefit. However, the relationship between the amount of SWS and sleep-related memory benefits differed significantly between the groups. In healthy participants, the amount of SWS correlated positively with sleep-related memory benefits. In stark contrast, the more SWS, the smaller the sleep-related memory benefit in the ALF group. Therefore, contrary to its role in healthy people, SWS-associated brain activity appears to be deleterious for memory in patients with ALF.
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Affiliation(s)
- Kathryn E Atherton
- Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | - Anna C Nobre
- Oxford Centre for Human Brain Activity, University of Oxford, Oxford, UK
| | - Alpar S Lazar
- John van Geest Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, UK
| | - Katharina Wulff
- Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | | | - Vandana Dhawan
- Institute of Neuroscience, Newcastle University, Newcastle, UK
| | - Zsolt I Lazar
- Department of Physics, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Adam Z Zeman
- Cognitive and Behavioural Neurology, Peninsular Medical School, University of Exeter, UK
| | - Christopher R Butler
- Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
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36
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Philippi N, Noblet V, Duron E, Cretin B, Boully C, Wisniewski I, Seux ML, Martin-Hunyadi C, Chaussade E, Demuynck C, Kremer S, Lehéricy S, Gounot D, Armspach JP, Hanon O, Blanc F. Exploring anterograde memory: a volumetric MRI study in patients with mild cognitive impairment. ALZHEIMERS RESEARCH & THERAPY 2016; 8:26. [PMID: 27473839 PMCID: PMC4967326 DOI: 10.1186/s13195-016-0190-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Accepted: 04/29/2016] [Indexed: 11/10/2022]
Abstract
BACKGROUND The aim of this volumetric study was to explore the neuroanatomical correlates of the Free and Cued Selective Reminding Test (FCSRT) and the Delayed Matching-to-Sample-48 items (DMS-48), two tests widely used in France to assess verbal and visual anterograde memory. We wanted to determine to what extent the two tests rely on the medial temporal lobe, and could therefore be predictive of Alzheimer's disease, in which pathological changes typically start in this region. METHODS We analysed data from a cohort of 138 patients with mild cognitive impairment participating in a longitudinal multicentre clinical research study. Verbal memory was assessed using the FCSRT and visual recognition memory was evaluated using the DMS-48. Performances on these two tests were correlated to local grey matter atrophy via structural MRI using voxel-based morphometry. RESULTS Our results confirm the existence of a positive correlation between the volume of the medial temporal lobe and the performance on the FCSRT, prominently on the left, and the performance on the DMS-48, on the right, for the whole group of patients (family-wise error, P < 0.05). Interestingly, this region remained implicated only in the subgroup of patients who had deficient scores on the cued recall of the FCSRT, whereas the free recall was associated with prefrontal aspects. For the DMS-48, it was only implicated for the group of patients whose performances declined between the immediate and delayed trial. Conversely, temporo-parietal cortices were implicated when no decline was observed. Within the medial temporal lobe, the parahippocampal gyrus was prominently involved for the FCSRT and the immediate trial of the DMS-48, whereas the hippocampus was solely involved for the delayed trial of the DMS-48. CONCLUSIONS The two tests are able to detect an amnestic profile of the medial temporal type, under the condition that the scores remain deficient after the cued recall of the FCSRT or decline on the delayed recognition trial of the DMS-48. Strategic retrieval as well as perceptual/attentional processes, supported by prefrontal and temporo-parietal cortices, were also found to have an impact on the performances. Finally, the implication of the hippocampus appears time dependent, triggered by a longer delay than the parahippocampus, rather than determined by the sense of recollection or the encoding strength associated with the memory trace.
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Affiliation(s)
- N Philippi
- Department of Neurology, University Hospital of Strasbourg, Neuropsychology Unit, Strasbourg, France. .,University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France. .,University Hospital of Strasbourg, Centre Mémoire Ressources et Recherche, Strasbourg, France. .,Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France.
| | - V Noblet
- University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France
| | - E Duron
- Department of Geriatrics, Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - B Cretin
- Department of Neurology, University Hospital of Strasbourg, Neuropsychology Unit, Strasbourg, France.,University Hospital of Strasbourg, Centre Mémoire Ressources et Recherche, Strasbourg, France
| | - C Boully
- Department of Geriatrics, Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - I Wisniewski
- University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France
| | - M L Seux
- Department of Geriatrics, Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - C Martin-Hunyadi
- University Hospital of Strasbourg, Centre Mémoire Ressources et Recherche, Strasbourg, France.,Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France
| | - E Chaussade
- Department of Geriatrics, Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - C Demuynck
- University Hospital of Strasbourg, Centre Mémoire Ressources et Recherche, Strasbourg, France.,Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France
| | - S Kremer
- University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France.,Department of Radiology, University Hospital of Strasbourg, Strasbourg, France
| | - S Lehéricy
- Department of Neuroradiology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.,UPMC Paris 6-Inserm U1127, CNRS 7225, Institut du Cerveau et de la Moelle (ICM), Centre de NeuroImagerie de Recherche (CENIR), Paris, France
| | - D Gounot
- University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France
| | - J P Armspach
- University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France
| | - O Hanon
- Department of Geriatrics, Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.,Paris Descartes University, Sorbonne Paris Cité, EA4468, Paris, France
| | - F Blanc
- Department of Neurology, University Hospital of Strasbourg, Neuropsychology Unit, Strasbourg, France.,University of Strasbourg, CNRS, ICube laboratory, FMTS, Strasbourg, France.,University Hospital of Strasbourg, Centre Mémoire Ressources et Recherche, Strasbourg, France.,Department of Geriatrics, University Hospital of Strasbourg, Strasbourg, France
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Forgetting in temporal lobe epilepsy: When does it become accelerated? Cortex 2016; 78:70-84. [DOI: 10.1016/j.cortex.2016.02.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Revised: 01/05/2016] [Accepted: 02/08/2016] [Indexed: 11/18/2022]
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Abstract
The amygdala nuclei appear to be critically implicated in emotional memory. However, in most studies, encoding and consolidation processes cannot be analyzed separately. We thus studied the verbal emotional memory in a young woman with a ganglioglioma of the left amygdala and analyzed its impact (1) on each step of the memory process (encoding, retrieval, and recognition) (2) on short- and long-term consolidation (1-hour and 1-week delay) and (3) on processing of valence (positive and negative items compared to neutral words). Results showed emotional encoding impairments and, after encoding was controlled for, emotional long-term consolidation. Finally, although the negative words were not acknowledged as emotionally arousing by the patient, these words were specifically poorly encoded, recalled, and consolidated. Our data suggest that separate cerebral networks support the processing of emotional versus neutral stimuli.
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Ricci M, Mohamed A, Savage G, Miller LA. Disruption of learning and long-term retention of prose passages in patients with focal epilepsy. Epilepsy Behav 2015; 51:104-11. [PMID: 26262938 DOI: 10.1016/j.yebeh.2015.06.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2014] [Revised: 05/28/2015] [Accepted: 06/08/2015] [Indexed: 11/29/2022]
Abstract
Recent investigations of accelerated long-term forgetting, a condition in which newly acquired memory is normal initially but decays rapidly over days or weeks, indicate that multiple factors might influence whether this phenomenon is seen in patients with epilepsy. Test-based differences such as learning condition or type of memory measure (e.g., recall vs recognition) as well as epilepsy variables (e.g., side, site, or frequency of epileptiform activity) may be important. The present study sought to characterize factors affecting learning and memory for prose passages in patients with focal epilepsy. We enrolled 21 patients with temporal lobe epilepsy, with and without hippocampal lesions, 11 patients with extratemporal epilepsy (ETE), and 29 healthy controls. Two matched passages were used to compare effects of initial learning condition (one exposure versus learning-to-criterion) on subsequent patterns of retention. Recall and recognition were tested at different delays (i.e., immediately, 30min, 24h, and 4days). Regression analyses and one-way ANOVAs indicated that having a left-hemisphere epileptic focus had a negative impact on learning, whilst presence of a hippocampal lesion (irrespective of side) was associated with deterioration in recall for intervals up to 24h postencoding. Learning condition affected patterns of memory decay in that the ETE group showed significant decline in recall between 24h and 4days only when stories were learned to criterion. In contrast with recall, no changes over time were evident in recognition memory, as patients with hippocampal lesions were impaired from 30min onward. Epilepsy variables other than side and site of epilepsy/lesion did not influence performance. In conclusion, the left hemisphere is involved in learning of prose material, and the hippocampus is involved in the consolidation of this material mainly for the first 24h. After this, cortical regions outside the hippocampus become important for recall.
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Affiliation(s)
- Monica Ricci
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
| | - Armin Mohamed
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, Australia
| | - Greg Savage
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
| | - Laurie A Miller
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, Australia; ARC Centre of Excellence in Cognition and its Disorders, University of Sydney, Sydney, Australia.
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Korczyn AD, Schachter SC, Amlerova J, Bialer M, van Emde Boas W, Brázdil M, Brodtkorb E, Engel J, Gotman J, Komárek V, Leppik IE, Marusic P, Meletti S, Metternich B, Moulin CJA, Muhlert N, Mula M, Nakken KO, Picard F, Schulze-Bonhage A, Theodore W, Wolf P, Zeman A, Rektor I. Third International Congress on Epilepsy, Brain and Mind: Part 1. Epilepsy Behav 2015; 50:116-37. [PMID: 26276417 PMCID: PMC5256665 DOI: 10.1016/j.yebeh.2015.06.044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Accepted: 06/24/2015] [Indexed: 12/12/2022]
Abstract
Epilepsy is both a disease of the brain and the mind. Here, we present the first of two papers with extended summaries of selected presentations of the Third International Congress on Epilepsy, Brain and Mind (April 3-5, 2014; Brno, Czech Republic). Epilepsy in history and the arts and its relationships with religion were discussed, as were overviews of epilepsy and relevant aspects of social cognition, handedness, accelerated forgetting and autobiographical amnesia, and large-scale brain networks.
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Affiliation(s)
- Amos D Korczyn
- Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Israel
| | - Steven C Schachter
- Consortia for Improving Medicine with Innovation and Technology, Harvard Medical School, Boston, MA, USA.
| | - Jana Amlerova
- Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Meir Bialer
- Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Walter van Emde Boas
- Department of EEG, Dutch Epilepsy Clinics Foundation (SEIN), Heemstede, The Netherlands; Epilepsy Monitoring Unit, Dutch Epilepsy Clinics Foundation (SEIN), Heemstede, The Netherlands
| | - Milan Brázdil
- Masaryk University, Brno Epilepsy Center, St. Anne's Hospital and School of Medicine, Brno, Czech Republic; Central European Institute of Technology (CEITEC), Brno, Czech Republic
| | - Eylert Brodtkorb
- Department of Neurology and Clinical Neurophysiology, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway; Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway
| | | | - Jean Gotman
- Montreal Neurological Institute, McGill University, Montreal, Canada
| | - Vladmir Komárek
- Department of Paediatric Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Ilo E Leppik
- MINCEP Epilepsy Care, University of Minnesota, Minneapolis, MN, USA; College of Pharmacy, University of Minnesota, Minneapolis, MN, USA
| | - Petr Marusic
- Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Stefano Meletti
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Chris J A Moulin
- Laboratory for the Study of Learning and Development, University of Bourgogne, Dijon, France
| | - Nils Muhlert
- School of Psychology and Cardiff University Brain Research Imaging Centre, Cardiff University, Cardiff, Wales, UK
| | - Marco Mula
- Epilepsy Group, Atkinson Morley Regional Neuroscience Centre, St. George's Hospital, London, UK; Institute of Medical and Biomedical Sciences, St. George's University of London, London, UK
| | - Karl O Nakken
- National Centre for Epilepsy, Oslo University Hospital, Norway
| | - Fabienne Picard
- Department of Neurology, University Hospital and Medical School of Geneva, Switzerland
| | | | - William Theodore
- Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA
| | - Peter Wolf
- Danish Epilepsy Centre Filadelfia, Dianalund, Denmark; Department of Clinical Medicine, Neurological Service, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Adam Zeman
- University of Exeter Medical School, St. Luke's Campus, Exeter, UK
| | - Ivan Rektor
- Masaryk University, Brno Epilepsy Center, St. Anne's Hospital and School of Medicine, Brno, Czech Republic; Central European Institute of Technology (CEITEC), Brno, Czech Republic
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Voltzenlogel V, Hirsch E, Vignal JP, Valton L, Manning L. Preserved anterograde and remote memory in drug-responsive temporal lobe epileptic patients. Epilepsy Res 2015. [PMID: 26220389 DOI: 10.1016/j.eplepsyres.2015.06.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To investigate cognition, particularly anterograde and remote memory, in patients suffering from unilateral drug-responsive mesial temporal lobe epilepsy (mTLE) patients and to compare their performance with that observed in drug-resistant mTLE patients. METHODS Sixteen drug-responsive mTLE patients, with only infrequent seizures in their lifetime, were matched for demographic and clinical variables to 18 patients suffering from drug-resistant unilateral mTLE. A comprehensive neuropsychological examination, including baseline, anterograde memory tasks, and a large range of remote memory tests was carried out. RESULTS Patients with drug-responsive epilepsy obtained average scores on every anterograde memory test. Although in general, they obtained lower scores than the healthy controls on remote memory tests, the differences failed to reach significance. Moreover, the drug-responsive group performed significantly better than the drug-resistant group on anterograde recall tests and an episodic autobiographical memory test. Performance was not significantly different between the patient groups in personal semantics or memory for public events. CONCLUSION Our results show that a mild clinical course of mTLE with no cognitive deficits can occur notwithstanding hippocampal sclerosis. The differences in cognitive function between the two groups are likely due to distinct pathophysiology of the underlying cause of epilepsy. Drug-resistant seizures and cognitive deficits may be the consequence of a more severe underlying cerebral process. Better understanding of the variety of pathogenesis of mTLE could help to answer this open question.
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Affiliation(s)
| | - Edouard Hirsch
- Fédération de médecine translationnelle, University Hospital, Strasbourg, France.
| | | | - Luc Valton
- Explorations Neurophysiologiques, Department of Neurology, Hôpital Pierre Paul Riquet, University Hospital, & CerCo, Centre de recherche Cerveau et Cognition UMR 5549 - CNRS, Toulouse, France.
| | - Liliann Manning
- INSERM, U1114 and Strasbourg University, Strasbourg, France.
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Miller LA, Flanagan E, Mothakunnel A, Mohamed A, Thayer Z. Old dogs with new tricks: Detecting accelerated long-term forgetting by extending traditional measures. Epilepsy Behav 2015; 45:205-11. [PMID: 25825369 DOI: 10.1016/j.yebeh.2015.01.024] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 01/19/2015] [Accepted: 01/21/2015] [Indexed: 11/30/2022]
Abstract
Accelerated long-term forgetting (ALF) is a condition in which normal memory performance is displayed after short delays, but significant memory loss is detected when memory is tested after several days or weeks. This condition has been reported in patients with epilepsy, but there are few normative scores available for its detection in clinical practice. In the present study, we assessed 60 healthy control subjects 18-60years of age on three memory measures [Rey Auditory Verbal Learning (RAVLT), Logical Memory (LM), and Aggie Figures] at delays of 30min and 7days. With these normative values, we determined cutoff scores to look for ALF and then categorized the performance of 15 patients with focal epilepsy on the same tasks. Seven of the patients showed ALF, and, in four of these, no other memory deficits (i.e., deficits at 30min on at least one task) were detected. Of the several demographic and epilepsy factors examined, only higher estimated IQ and older age predicted ALF (and only on one task: RAVLT). The findings provide a useful set of data to be applied in the clinic and some insight into the factors that influence retention within the first week.
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Affiliation(s)
- Laurie A Miller
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, NSW, Australia; ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia.
| | - Emma Flanagan
- Neuroscience Research Australia, Sydney, NSW, Australia
| | - Annu Mothakunnel
- ARC-Centre of Excellence in Cognition and Its Disorders, Macquarie University, NSW, Australia
| | - Armin Mohamed
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
| | - Zoe Thayer
- Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, NSW, Australia; ARC-Centre of Excellence in Cognition and Its Disorders, University of Sydney, NSW, Australia
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44
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Huijgen J, Samson S. The hippocampus: A central node in a large-scale brain network for memory. Rev Neurol (Paris) 2015; 171:204-16. [DOI: 10.1016/j.neurol.2015.01.557] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Revised: 01/22/2015] [Accepted: 01/29/2015] [Indexed: 11/25/2022]
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45
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The impact of epileptiform abnormalities and hippocampal lesions on retention of recent autobiographical experiences: Adding insult to injury? Neuropsychologia 2015; 66:259-66. [DOI: 10.1016/j.neuropsychologia.2014.11.027] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Revised: 11/20/2014] [Accepted: 11/23/2014] [Indexed: 11/23/2022]
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46
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47
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Voltzenlogel V, Vignal JP, Hirsch E, Manning L. The influence of seizure frequency on anterograde and remote memory in mesial temporal lobe epilepsy. Seizure 2014; 23:792-8. [DOI: 10.1016/j.seizure.2014.06.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Revised: 06/18/2014] [Accepted: 06/23/2014] [Indexed: 12/25/2022] Open
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Hoefeijzers S, Dewar M, Della Sala S, Butler C, Zeman A. Accelerated long-term forgetting can become apparent within 3-8 hours of wakefulness in patients with transient epileptic amnesia. Neuropsychology 2014; 29:117-25. [PMID: 25089646 PMCID: PMC4296931 DOI: 10.1037/neu0000114] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Objective: Accelerated long-term forgetting (ALF) is typically defined as a memory disorder in which information that is learned and retained normally over standard intervals (∼30 min) is forgotten at an abnormally rapid rate thereafter. ALF has been reported, in particular, among patients with transient epileptic amnesia (TEA). Previous work in TEA has revealed ALF 24 hr - 1 week after initial memory acquisition. It is unclear, however, if ALF observed 24 hr after acquisition reflects (a) an impairment of sleep consolidation processes taking place during the first night’s sleep, or (b) an impairment of daytime consolidation processes taking place during the day of acquisition. Here we focus on the daytime-forgetting hypothesis of ALF in TEA by tracking in detail the time course of ALF over the day of acquisition, as well as over 24 hr and 1 week. Method: Eleven TEA patients who showed ALF at 1 week and 16 matched controls learned 4 categorical word lists on the morning of the day of acquisition. We subsequently probed word-list retention 30 min, 3 hr, and 8 hr postacquisition (i.e., over the day of acquisition), as well as 24-hr and 1-week post acquisition. Results: ALF became apparent in the TEA group over the course of the day of acquisition 3–8 hr after learning. No further forgetting was observed over the first night in either group. Conclusions: The results of this study show that ALF in TEA can result from a deficit in memory consolidation occurring within hours of learning without a requirement for intervening sleep.
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Affiliation(s)
- Serge Hoefeijzers
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh
| | - Michaela Dewar
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh
| | - Sergio Della Sala
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh
| | | | - Adam Zeman
- Cognitive and Behavioural Neurology, University of Exeter Medical School
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49
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Moroni F, Nobili L, Iaria G, Sartori I, Marzano C, Tempesta D, Proserpio P, Lo Russo G, Gozzo F, Cipolli C, De Gennaro L, Ferrara M. Hippocampal slow EEG frequencies during NREM sleep are involved in spatial memory consolidation in humans. Hippocampus 2014; 24:1157-68. [PMID: 24796545 DOI: 10.1002/hipo.22299] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2014] [Indexed: 02/05/2023]
Affiliation(s)
- Fabio Moroni
- Department of Psychology; “Sapienza” University of Rome; Roma Italy
- Laboratory of Psychology; Department of Specialized; Diagnostics and Experimental Medicine, University of Bologna; Bologna Italy
| | - Lino Nobili
- Centre of Epilepsy Surgery “C. Munari”, Center of Sleep Medicine, Niguarda Hospital; Milan Italy
- Institute of Bioimaging and Molecular Physiology, Section of Genoa, National Research Council; Genova Italy
| | - Giuseppe Iaria
- Department of Psychology and Clinical Neurosciences; and Hotchkiss Brain Institute; University of Calgary; Calgary Alberta Canada
| | - Ivana Sartori
- Centre of Epilepsy Surgery “C. Munari”, Center of Sleep Medicine, Niguarda Hospital; Milan Italy
| | - Cristina Marzano
- Department of Psychology; “Sapienza” University of Rome; Roma Italy
| | - Daniela Tempesta
- Department of Life; Health and Environmental Sciences; University of L'Aquila; L'Aquila Italy
| | - Paola Proserpio
- Centre of Epilepsy Surgery “C. Munari”, Center of Sleep Medicine, Niguarda Hospital; Milan Italy
| | - Giorgio Lo Russo
- Centre of Epilepsy Surgery “C. Munari”, Center of Sleep Medicine, Niguarda Hospital; Milan Italy
| | - Francesca Gozzo
- Centre of Epilepsy Surgery “C. Munari”, Center of Sleep Medicine, Niguarda Hospital; Milan Italy
| | - Carlo Cipolli
- Laboratory of Psychology; Department of Specialized; Diagnostics and Experimental Medicine, University of Bologna; Bologna Italy
| | - Luigi De Gennaro
- Department of Psychology; “Sapienza” University of Rome; Roma Italy
| | - Michele Ferrara
- Department of Life; Health and Environmental Sciences; University of L'Aquila; L'Aquila Italy
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50
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Gascoigne MB, Smith ML, Barton B, Webster R, Gill D, Lah S. Accelerated long-term forgetting in children with temporal lobe epilepsy. Neuropsychologia 2014; 59:93-102. [PMID: 24784007 DOI: 10.1016/j.neuropsychologia.2014.04.012] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Revised: 04/14/2014] [Accepted: 04/19/2014] [Indexed: 11/16/2022]
Abstract
Adults with temporal lobe epilepsy (TLE) have been found to have accelerated long-term forgetting, but this phenomenon has not yet been investigated in children. Although deficits in recall of materials after short (20- to 30-minute) delays have been shown to slowly emerge from childhood to adolescence in patients with TLE, it is unknown whether such a trend will also be found in recall of materials after long delays. This study examined the presence of accelerated long-term forgetting in children with TLE and how it relates to chronological age. Twenty-three children with TLE and 58 healthy controls of similar age, sex distribution and socioeconomic status completed a battery of neuropsychological tests, including standardised tests of story recall and design location, as well as two experimental tests requiring the learning of words and design locations to a criterion, both of which assessed recall after short (30-min) and long (7-day) delays. Word recall at the 7-day delay (relative to the 30-min recall) was significantly poorer in the TLE group, compared to the control group. The TLE group also exhibited worse 30-min recall performance on a standardised test of story recall. Individual patient analyses revealed dissociation between performance on the experimental and standardised verbal memory tests; children who were impaired on the experimental test (7-day delay) were not impaired on the standardised test (30-min delay). Compared to controls, patients with a left-hemisphere seizure focus recalled fewer words at short and long delays while patients with an abnormal hippocampus recalled fewer words at the long delay. No between-group differences were found with respect to the design location task. Age negatively correlated with the recall of words after short- and long-term delays within the TLE group, where older age was associated with worse memory. This association was not present in the control group. To our knowledge, this is the first study to show evidence of accelerated long-term forgetting in children with TLE, which could not be explained by poor performance on standardised memory tests. Additionally, these results suggest that the developmental trajectory of long-term memory in children with TLE is similar to that of short-term memory: deficits emerge gradually, therefore older children are more likely to present with long-term memory deficits.
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Affiliation(s)
| | - Mary Lou Smith
- The University of Toronto and The Hospital for Sick Children, Toronto, Canada
| | - Belinda Barton
- Children׳s Hospital Education Research Institute, The Children׳s Hospital at Westmead and Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Australia
| | - Richard Webster
- T.Y. Nelson Department of Neurology and Neurosurgery, The Children׳s Hospital at Westmead, Sydney, Australia
| | - Deepak Gill
- T.Y. Nelson Department of Neurology and Neurosurgery, The Children׳s Hospital at Westmead, Sydney, Australia
| | - Suncica Lah
- School of Psychology, The University of Sydney, Australia; ARC Centre of Excellence in Cognition and its Disorders, Australia.
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