H.M. - The Pivotal Case
His medial temporal lobectomy showed that specific brain structures are critical for memory, revealed different memory types (explicit vs. implicit), and identified memory consolidation as a key process.
H.M.’s Surgery & Core Deficit
A medial temporal lobectomy (removing hippocampus, amygdala). His core deficit was severe anterograde amnesia – the inability to form new explicit long-term memories.
Retrograde vs. Anterograde Amnesia
Retrograde: Cannot remember events before the brain damage.
Anterograde: Cannot form new memories after the brain damage.
Explicit vs. Implicit Memory
Explicit: Memory you can declare (facts, events). H.M. lost this.
Implicit: Memory you show (skills, habits). H.M. retained this.
Episodic vs. Semantic Memory
Episodic: Autobiographical, personal experiences (your last birthday).
Semantic: General knowledge and facts (knowing Paris is the capital of France).
Cerebral Global Ischemia
A reduction in blood supply to the brain (e.g., from a heart attack). The CA1 region of the hippocampus is highly vulnerable, leading to memory problems.
Korsakoff’s Syndrome Cause & Symptoms
Cause: Thiamine (B1) deficiency, often from chronic alcoholism.
Symptoms: Anterograde amnesia early on, progressing to retrograde amnesia in late stages.
Korsakoff’s Syndrome Brain Damage
Medial diencephalon (medial thalamus & hypothalamus). Diffuse damage can also occur in the neocortex, hippocampus, and cerebellum.
Alzheimer’s Disease - Key Features
Features: Progressive memory loss, especially for new info (anterograde amnesia), without initial dementia.
Regions: Basal forebrain (reduced acetylcholine), medial temporal lobe, and prefrontal cortex.
Post-Traumatic Amnesia (PTA)
Amnesia from closed-head injury (e.g., concussion). Characterized by:
Intact short-term memory but impaired long-term memory formation.
Islets of memory: Brief, clear flashbacks during the amnesic period.
Duration: Coma < Retrograde Amnesia < Anterograde Amnesia.
Place Cells vs. Grid Cells
Place Cells: Fire when an animal is in a specific location (the “place field”).
Grid Cells: Fire in a hexagonal grid pattern across the environment, providing a spatial map for place cells.
Concept Cells
Neurons that fire in response to a specific concept (a person, place, object), regardless of how it’s perceived. They create associative networks.
Engram Cells
Engram cells : any change in your nervous system that forms as a result from memory formation is an engram.
These cells are involved in maintaining that change and memory.
Inferotemporal Cortex Role
Part of the “what” pathway; crucial for recalling visual information and learning relationships between visual stimuli.
Amygdala Role
Strengthening the emotional component of memories, especially fear-related memories.
Prefrontal Cortex Role
Working memory (e.g., remembering where you parked) and memory for the temporal order of events.
Cerebellum Role
Motor learning where precise timing is critical (e.g., adapting to a split-belt treadmill).
Striatum Role
Critical for habit formation and procedural learning for both motor and cognitive activities.
Memory Consolidation & Reconsolidation
Consolidation: The initial process of stabilizing a memory from short-term to long-term storage.
Reconsolidation: The process of re-stabilizing a memory after it is recalled, allowing it to be updated or strengthened.
Long-Term Potentiation (LTP)
A long-lasting strengthening of synaptic connections following high-frequency stimulation. It is the primary cellular model for learning and memory.
Key Requirement to Induce LTP
Co-occurrence (Associativity): The presynaptic neuron and postsynaptic neuron must be activated at the same time.
Glutamate binding to AMPA and NMDA receptors is essential for LTP because it depolarizes the postsynaptic neuron, removes the Mg²⁺ block from NMDA receptors, allows Ca²⁺ influx, and triggers the molecular changes that strengthen the synapse.
NMDA Receptors & LTP
They are the “coincidence detectors.” When both glutamate binds (from presynaptic activity) and the postsynaptic neuron is depolarized, the Mg2+ block is removed, allowing Ca2+ to flood in, triggering LTP.
Long-Term Depression (LTD)
The opposite of LTP; a long-lasting weakening of synaptic connections. It is crucial for clearing old memories and fine-tuning neural circuits.
Metaplasticity
“Plasticity of plasticity.” It refers to how the history of a synapse’s activity influences its future capacity to undergo LTP or LTD.