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Understanding anterograde amnesia: Disconnections and hidden lesions 

Author: John P. Aggleton a
Affiliation:   a Cardiff University, Cardiff, UK
DOI: 10.1080/17470210802215335
Publication Frequency: 12 issues per year
Published in: journal The Quarterly Journal of Experimental Psychology, Volume 61, Issue 10 October 2008 , pages 1441 - 1471
First Published: October 2008
Formats available: HTML (English) : PDF (English)
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Abstract

Three emerging strands of evidence are helping to resolve the causes of the anterograde amnesia associated with damage to the diencephalon. First, new anatomical studies have refined our understanding of the links between diencephalic and temporal brain regions associated with amnesia. These studies direct attention to the limited numbers of routes linking the two regions. Second, neuropsychological studies of patients with colloid cysts confirm the importance of at least one of these routes, the fornix, for episodic memory. By combining these anatomical and neuropsychological data strong evidence emerges for the view that damage to hippocampal—mammillary body—anterior thalamic interactions is sufficient to induce amnesia. A third development is the possibility that the retrosplenial cortex provides an integrating link in this functional system. Furthermore, recent evidence indicates that the retrosplenial cortex may suffer “covert” pathology (i.e., it is functionally lesioned) following damage to the anterior thalamic nuclei or hippocampus. This shared indirect “lesion” effect on the retrosplenial cortex not only broadens our concept of the neural basis of amnesia but may also help to explain the many similarities between temporal lobe and diencephalic amnesia.
Keywords: Temporal lobe; Fornix; Memory; Subiculum; Entorhinal cortex; Hippocampus; Hypothalamus
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