Abstract
Models of recognition memory have postulated that the mammillo-thalamic tract (MTT)/anterior thalamic nucleus (AN) complex would be critical for recollection while the Mediodorsal nucleus (MD) of the thalamus would support familiarity and indirectly also be involved in recollection (Aggleton et al., 2011). 12 patients with left thalamic stroke underwent a neuropsychological assessment, three verbal recognition memory tasks assessing familiarity and recollection each using different procedures and a high-resolution structural MRI. Patients showed poor recollection on all three tasks. In contrast, familiarity was spared in each task. No patient had significant AN lesions. Critically, a subset of 5 patients had lesions of the MD without lesions of the MTT. They also showed impaired recollection but preserved familiarity. Recollection is therefore impaired following MD damage, but familiarity is not. This suggests that models of familiarity, which assign a critical role to the MD, should be reappraised.
Highlights
A number of studies have been carried out on thalamic amnesia, with the aim of clarifying the role of thalamic nuclei and bundles in memory processes
The Mamillothalamic tract/Anterior thalamic nucleus (MTT/AN) complex is thought to be critical for memory because of its direct and indirect connections with the hippocampus (Ghika-Schmid and Bogousslavsky, 2000; Van der Werf et al, 2000; Aggleton et al, 2011; Edelstyn et al, 2012)
We found that a large group of patients with left thalamic infarcts involving mainly the MD nucleus showed impaired recollection
Summary
A number of studies have been carried out on thalamic amnesia, with the aim of clarifying the role of thalamic nuclei and bundles in memory processes (von Cramon et al, 1985; Cipolotti et al, 2008; Carlesimo et al, 2011; Pergola et al, 2012). The Mamillothalamic tract/Anterior thalamic nucleus (MTT/AN) complex is thought to be critical for memory because of its direct and indirect connections with the hippocampus (Ghika-Schmid and Bogousslavsky, 2000; Van der Werf et al, 2000; Aggleton et al, 2011; Edelstyn et al, 2012). An influential dual-process model suggested that the AN/MTT complex is critical for recollection, the ability to retrieve part of the experience associated with a stimulus, while the MD is important for familiarity, a simpler process related to the mere feeling that the stimulus has been experienced before (Aggleton and Brown, 1999). Contrary to single-process theories that state that recollection and familiarity map on to strong and weak memories, this model assumed that these two processes are functionally and anatomically independent
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