Neuropediatrics 2006; 37(6): 317-324
DOI: 10.1055/s-2007-964997
Original Article

Georg Thieme Verlag KG Stuttgart · New York

Deficit in Memory Consolidation (Abnormal Forgetting Rate) in Childhood Temporal Lobe Epilepsy. Pre and Postoperative Long-Term Observation

S. Cronel-Ohayon1 , P. Zesiger1 , 2 , V. Davidoff1 , A. Boni1 , E. Roulet1 , T. Deonna1
  • 1Department of Neuropediatrics, University Hospital of Lausanne, CHUV, Switzerland
  • 2Department of Psychology, Univesity of Geneva, Uni-Mail, Geneva, Switzerland
Further Information

Publication History

Received: March 23, 2006

Accepted after Revision: January 30, 2007

Publication Date:
14 March 2007 (online)

Abstract

Deficits in memory consolidation have been reported in adult patients with epilepsy but, not to our knowledge, in children. We report the long-term follow-up (9 y. o. to 18 y. o.) of a boy who suffered from temporal lobe epilepsy and underwent a left temporal lobectomy with amygdalo-hippocampal resection at the age of 10. He showed an abnormal forgetting rate when trying to encode new information and a significant deficit for retrieving remote episodic memories (when compared with his twin brother), both consistent with a consolidation disorder. His memory condition slightly improved after cessation of the epilepsy, nevertheless did not normalize. No standard memory assessment could pinpoint his memory problem, hence an adapted methodology was needed. We discuss the nature of the memory deficit, its possible causes and its clinical implications.

References

  • 1 Ahern G, O'Connor M, Dalmau J, Coleman A, Posner J, Dchomer D. Paraneoplastic temporal lobe epilepsy with testicular neoplasm and atypical amnesia.  Neurology. 1994;  44 1270-1274
  • 2 DeRenzi E, Lucchelli F. Dense retrograde amnesia, intact learning capability and abnormal forgetting rate : a consolidation deficit?.  Cortex. 1993;  29 449-466
  • 3 Kapur N, Millar J, Colbourn C, Abbott P, Kennedy P, Docherty T. Very long-term amnesia in association with temporal lobe epilepsy: evidence for multiple-stage consolidation processes.  Brain and Cognition. 1997;  35 58-70
  • 4 Manes F, Hodges J, Graham K, Zeman A. Focal autobiographical amnesia in association with transient epileptic amnesia.  Brain. 2001;  124 499-509
  • 5 Martin R, Loring D, Meador K, Lee G, Thrash N, Arena J. Impaired long-term retention despite normal verbal learning in patients with temporal lobe dysfunctions.  Neuropsychologia. 1991;  5 3-12
  • 6 Blake R, Wroe S, Breen E, McCarthy R. Accelerated forgetting in patients with epilepsy: evidence for an impairment in memory consolidation.  Brain. 2000;  123 472-483
  • 7 Signoret J-L. Batterie d'efficience mnésique (BEM‐144). Paris; Elsevier 1991
  • 8 Wechsler D. Echelle d'intelligence de Wechsler pour enfants. Troisième édition. Paris; ECPA 1991
  • 9 Wechsler D. Echelle D'intelligence Pour Adultes. Paris; Version révisée, ECPA 1989
  • 10 Heaton R. The Wisconsin Card Sorting Test. Odessa, Florida; Psychological Assessment Resources 1981
  • 11 Stroop J. Studies of interference in serial verbal reactions.  J Experimental Psychol. 1935;  18 643-662
  • 12 Sevino O. Les fonctions exécutives chez l'enfant: développement, structure et évaluation, thèse de Doctorat, Université de Genève. 1998
  • 13 Simon H. The functional equivalence of problem solving skills.  Cognitive Psychology. 1975;  7 268-288
  • 14 Conners C. Conners' continuous performance test. Toronto; Multi-Health systems Inc. 1992
  • 15 Cohen M. Echelle de mémoire pour enfants (CMS), French translation. Paris; Les éditions du centre de Psychologie appliquée 1997
  • 16 Sunderland A, Harris E, Baddeley A D. Do laboratory tests predict everyday memory? Neuropsychological study.  J Verbal Learning Verbal Behav. 1983;  22 341-357
  • 17 Rey A. Test de la copie d'une figure complexe. Paris; Les éditions du Centre de Psychologie appliquée 1959
  • 18 Rey A. Test des 15 mots de Rey. Paris; Les éditions du Centre de Psychologie appliquée 1959
  • 19 Rey A. Test des 15 signes de Rey. Paris; Les éditions du Centre de Psychologie appliquée 1959
  • 20 Markowitsch H, Calabrese P, Neufeld H, Gehlen W, Durwen H. Retrograde amnesia for world knowledge and preserved memory for autobiographical events. A case report.  Cortex. 1999;  35 243-252
  • 21 Howard D, Patterson K. The Pyramids and Palm trees test, a test of semantic access from words to pictures. Bury St Edmunds; Thames Valley Test Company 1992
  • 22 Kaplan E, Goodglass H, Weintraub S. Boston Naming test. Philadelphia; Léa & Febiger 1983
  • 23 Brizzolara D, Casalini C, Montanaro D, Posteraro F. A case of amnesia at an early age.  Cortex. 2003;  39 605-625
  • 24 Vargha-Khadem F, Gadian D, Watkins K, Connelly A, Paesschen W, Mishkin M. Differential effects of early hippocampal pathology on episodic and semantic memory.  Science. 1997;  277 376-380
  • 25 Squire L. Mechanisms of memory.  Science. 1986;  232 281-291
  • 26 Gilboa A, Winocur G, Grady C, Hevenor S, Moscovitch M. Remembering our past: functional neuroanatomy of recollection of recent and very remote personal events.  Cereb Cortex. 2004;  14 1214-1225
  • 27 Morton J, Hammersley R, Bekerian D. Headed records: a model for memory and its failures.  Cognition. 1985;  20 1-23
  • 28 Piolino P, Giffard-Quillon G, Desgranges B, Chetelat G, Baron J, Eustache F. Re-experiencing old memories via hippocampus: a PET study of autobiographical memory.  Neuroimage. 2004;  22 1371-1383
  • 29 Tulving E, Schachter D, McLachlan D, Moscovitch M. Priming of semantic autobiographical knowledge: a case study of retrograde amnesia.  Brain Cognition. 1988;  8 3-20
  • 30 Warrington E, Weiskrantz L. Amnesia: a disconnection syndrome?.  Neuropsychologia. 1982;  20 233-249
  • 31 Alvarez P, Squire L. Memory consolidation and the medial temporal lobe: a simple network model.  Proc Natl Acad Science USA. 1994;  91 7041-7045
  • 32 Bontempi B, Laurent-Demir C, Destrade C, Jaffard R. Time-dependent reorganization of brain circuitry underlying long-term memory storage.  Nature. 1999;  400 671-675
  • 33 McClelland J, McNaughton B, O'Reilly R. Why there are complementary learning systems in the hippocampus and neocortex; insights from the successes and failures of the connectionist models of learning and memory.  Psychol Rev. 1995;  102 419-457
  • 34 Kazuhisa N, Jing L. An fMRI study on the time-limited role of the medial temporal lobe in long-term topographical autobiographic memory.  J Cognitive Neuroscience. 2002;  14 500-507
  • 35 Kopelman M, Wilson B, Baddeley A. The Autobiographical Memory Interview: a new assessment of autobiographical and personal semantic memory in amnesic patients.  J Clin Exp Neuropsychol. 1989;  11 724-744
  • 36 Squire L, Stark C, Clarke R. The medial temporal lobe.  Annu Rev Neurosci. 2004;  27 279-306
  • 37 Wiltgen B, Brown R, Talton L, Silna J. New circuits for old memories: the role of the neocortex in consolidation.  Neuron. 2004;  44 101-108
  • 38 Nadel L, Moscovitch M. Memory consolidation, retrograde amnesia and the hippocampal complex.  Current Opinion in Neurobiology. 1997;  7 217-227
  • 39 Grahams K, Hodges J. Differentiating the roles of the hippocampal complex and the neocortex in long-term memory storage: evidence from the study of semantic dementia and Alzheimer's disease.  Neuropsychol. 1997;  11 77-89
  • 40 Maviel T, Durkin T, Menzaghi F, Bontempi B. Sites of neocortical reorganization critical for remote spatial memory.  Science. 2004;  305 96-99
  • 41 Squire L, Stark C, Knowlton B. Retrograde amnesia.  Hippocampus. 2001;  11 50-55
  • 42 Schacter D, Tulving E. Memory Systems. Cambridge, MA; MIT Press 1994
  • 43 Warrington E, McCarthy R. Memory disorders. Ashbury AK, McKhann G, McDonalds WI Diseases of the Nervous System. Second ed. Vol. 1. Philadelphia; Saunders 1992
  • 44 Chen C, Shih Y H, Yen D J, Lirg J F, Guo Y C, Yu H Y, Yiu C H. Olfactory auras in patients with temporal lobe epilepsy.  Epilepsia. 2003;  44 257-260
  • 45 Wennberg R, Arruda F, Quesney L F, Olivier A. Preeminence of extrahippocampal structures in the generation of mesial temporal seizures: evidence from human depth electrode recording.  Epilepsia. 2002;  43 716-726
  • 46 Temple C, Richardson P. Developmental amnesia: a new pattern of dissociation with intact episodic memory.  Neuropsychologia. 2003;  42 764-781

Thierry Deonna

Unité de Neuropédiatrie, CHUV

1011 Lausanne

Switzerland

Email: Thierry.Deonna@chuv.ch

    >