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Biomedical subjects

A P Shimamura

Publications and source records attributed to A P Shimamura.

At least 19 recordsLinked to original sources
PubMed1992

Intact implicit memory in patients with frontal lobe lesions.

Patients with frontal lobe lesions and control subjects were administered tests of word-stem completion priming. In this implicit memory test, subjects are first presented words (e.g. MOTEL, PARADE) in an incidental learning paradigm. Following word presentation, subjects are shown word stems (e.g. MOT, PAR) and asked to produce the first word that comes to mind. Patients with frontal lobe lesions exhibited normal levels of word-stem completion. These findings indicate that implicit memory can operate normally despite damage to the prefrontal cortex. The present results substantiate previous neuropsychological and positron emission tomography findings which indicate that word priming depends critically on posterior cortical areas.

Brain Damage, Chronic↗
PubMed1992

On the relationship between recall and recognition memory.

The relationship between recall and recognition has been a central topic for the study of memory. A test of alternative views about recall and recognition was arranged by studying amnesic patients. In amnesia, damage has occurred to a brain system important for declarative (conscious) memory, but skill learning, priming, and other forms of nonconscious memory are intact. Recall and recognition were found to be proportionately impaired in amnesic patients, and confidence ratings for the recognition judgments were commensurate with the level of impaired performance. The results are contrary to views that either recognition memory or associated confidence judgments are ordinarily supported significantly by nonconscious memory. The results favor the view that recall and recognition are related functions of declarative memory and equivalently dependent on the brain system damaged in amnesia.

Aged↗
PubMed1990

Memory for the temporal order of events in patients with frontal lobe lesions and amnesic patients.

Patients with frontal lobe lesions, amnesic patients with Korsakoff's syndrome, other (non-Korsakoff) amnesic patients, and control subjects were given tests of memory for temporal order. In the first experiment, subjects were presented with a list of 15 words and then asked to reproduce the list order from a random array of the words. In the second experiment, they were asked to arrange in chronological order a random display of 15 factual events that occurred between 1941 and 1985. In both experiments, patients with frontal lobe lesions were impaired in placing the items in the correct temporal order, despite normal item memory (i.e. normal recall and recognition memory for the words and facts). The two groups of amnesic patients exhibited impaired memory for temporal order as well as impaired item memory. Patients with Korsakoff's syndrome exhibited poorer temporal order memory than the other amnesic patients, despite similar levels of item memory. These findings demonstrate that patients with frontal lobe lesions have difficulty organizing information temporally. Patients with Korsakoff's syndrome, who have both diencephalic and frontal damage, have memory impairment together with a disproportionate deficit in memory for temporal order.

Alcohol Amnestic Disorder↗
PubMed1990

Intact text-specific reading skill in amnesia.

Amnesic patients were studied to determine whether the acquisition and retention of item-specific skills can be supported by nondeclarative (implicit) memory. In Experiment 1, subjects read 2 different passages 3 times in succession. Reading speed improved at a similar rate in both amnesic patients and normal subjects and was specific to the text that was read. In Experiment 2, amnesic patients and normal subjects read a passage 3 successive times and then reread the same passage after a 0-s, 10-min, 2-hr, or 1-day delay. In both groups, facilitation persisted for at least 10 min and disappeared within 2 hr. It is suggested that facilitated reading speed depends importantly on both semantic and perceptual information and that such information can be supported by nondeclarative memory.

Aged↗
PubMed1989

Source memory impairment in patients with frontal lobe lesions.

In two experiments, we investigated memory for recently learned facts and memory for the source of the facts (i.e. where and when the facts were learned) in patients with frontal lobe lesions, age-matched elderly control subjects, and younger subjects. In both experiments, patients with frontal lobe lesions recalled as many facts as their age-matched subjects and the younger subjects, but they frequently attributed facts to incorrect sources. In the second experiment, both patients with frontal lobe lesions and their age-matched subjects committed more source errors than younger subjects. These findings suggest that the frontal lobes may play a special role in associating facts to the context in which they were learned. The results are also discussed in the light of the source memory impairment that occurs in amnesic patients.

Adult↗
PubMed1989

Impaired priming of new associations in amnesia.

We assessed priming of new associations in amnesic patients and healthy control subjects in a paradigm developed by Graf and Schacter (1985). Subjects were presented unrelated word pairs embedded in sentences (e.g., A BELL was hanging over the baby's CRADLE) and were asked to rate how well the sentences related the two words. Subjects were then given a word completion test. They were shown three-letter word stems and were asked to complete the stem with the first word that came to mind. In the same context condition, each word stem was presented together with the word that had appeared in the same sentence during study (e.g., BELL-CRA--). In the different context condition, each stem was presented together with a new word that had never been presented (e.g., APPLE-CRA--). Control subjects completed more words in the same context condition than in the different context condition. In contrast, amnesic patients did not complete any more words in the same context condition than in the different context condition. Indeed, across two experiments none of the amnesic patients exhibited consistent priming of new associations. Thus, although amnesic patients do exhibit entirely normal priming of preexisting memory representations, they do not appear to exhibit priming of new associations in this paradigm.

Alcohol Amnestic Disorder↗
PubMed1989

Cognitive impairment following frontal lobe damage and its relevance to human amnesia.

Whether frontal lobe pathology can account for some of the cognitive impairment observed in amnesic patients with Korsakoff's syndrome was investigated. Various cognitive and memory tests were given to patients with circumscribed frontal lobe lesions, patients with Korsakoff's syndrome, non-Korsakoff amnesic patients, and control Ss. Patients with frontal lobe lesions were not amnesic. Nevertheless they exhibited 2 deficits that were also exhibited by patients with Korsakoff's syndrome but not by other amnesic patients: (a) impairment on the Wisconsin Card Sorting Test and (b) impairment on the Initiation and Preservation subscale of the Dementia Rating Scale. Thus, frontal lobe pathology can explain some of the cognitive deficits observed in patients with Korsakoff's syndrome.

Adult↗
PubMed1989

The neurology of memory: quantitative assessment of retrograde amnesia in two groups of amnesic patients.

The phenomenon of retrograde amnesia has important implications for understanding normal memory as well as its neural organization. Using 6 tests of remote memory, we evaluated the extent and severity of retrograde amnesia in 2 groups of amnesic patients--7 patients with alcoholic Korsakoff's syndrome and 5 other patients with amnesia (anoxia or ischemia, N = 3; thalamic infarction, N = 1; unknown etiology, N = 1). Although there were individual differences, Experiment 1 showed that the severity and extent of retrograde amnesia was similar for the 2 groups. Retrograde amnesia was temporally graded across a period of about 15 years and was not detectable in more remote time periods. In Experiment 2, repeated testing during a 3 year period showed that amnesic patients and control subjects were similarly consistent in their responses. Amnesic patients did not catch up to control subjects by eventually accumulating as many correct answers as the control subjects. In Experiment 3, amnesic patients performed normally on a test of very difficult general information questions, which were based on material likely to have been learned long ago. In all 3 experiments, the 2 groups of amnesic patients performed similarly. The results support the following conclusions: (1) Extensive, temporally graded retrograde amnesia, which has been observed frequently in patients with Korsakoff's syndrome, occurs readily in other amnesic patients as well, even when their memory impairment appears well circumscribed; (2) patients with presumed damage to either the medial temporal or the diencephalic brain structures linked to memory functions can produce a similar kind of retrograde amnesia; (3) the impairment reflects a loss of usable knowledge, not simply difficulty accessing an intact memory store that can then be overcome given sufficient retrieval opportunities; (4) very remote memory, at least for factual information, can be intact in amnesia; (5) the structures damaged in amnesia support memory storage, retrieval, or both during a lengthy period of reorganization, after which representations in memory can become independent of these structures.

Alcohol Amnestic Disorder↗
PubMed1988

Long-term memory in amnesia: cued recall, recognition memory, and confidence ratings.

We explored what kind of information is acquired when amnesic patients are able to exhibit significant retention on tests of cued recall and recognition memory. Amnesic patients and control subjects attempted to learn sets of sentences. Memory for the last word in each sentence was tested after 1 hr in the case of the amnesic patients, or after 1 to 2 weeks in the case of (delayed) control subjects. Amnesic patients and (delayed) control subjects performed at similar levels on tests of cued recall and recognition memory. Amnesic patients were just as confident of their correct answers as were control subjects. However, amnesic patients were no more disadvantaged than control subjects when they were cued indirectly by presenting paraphrases of the original sentences. These findings demonstrate that the residual knowledge retained by amnesic patients can be as flexible, as accessible to indirect cues, and as available to awareness as the knowledge retained by (delayed) control subjects.

Alcohol Amnestic Disorder↗
PubMed1988

Lexical and semantic priming deficits in patients with Alzheimer's disease.

Two experiments utilizing priming procedures examined the status of semantic memory in demented and amnesic patients. In the first investigation, lexical priming was assessed in patients with dementia of the Alzheimer type (DAT), Huntington's Disease (HD), alcoholic Korsakoff's syndrome (KS), and in intact control subjects. Subjects were first exposed to a list of words in a rating task and then required to complete three-letter stems with the "first word that comes to mind". Half of the stems could be completed with the previously presented words and the other half were used to assess baseline guessing rates. Recall and recognition of incidentally exposed words was also assessed. Although all three patient groups were impaired on tests of recall and recognition, only the DAT patients exhibited a priming deficit on the stem-completion task. In the second experiment, DAT, HD, and intact control subjects were administered a semantic priming test which required the subject to "free associate" to the first words of previously presented semantically associated word pairs. The results for this association task showed that DAT patients were significantly less likely to produce the second word of the semantically related pair than were the other subject groups. The results of these two experiments suggest that the memory capacities of DAT patients are characterized by a breakdown in the structure of semantic memory and that this impairment is evident on some "automatic" as well as "effortful" processing tasks.

Adult↗
PubMed1988

Korsakoff's syndrome: radiological (CT) findings and neuropsychological correlates.

Quantitative analyses were performed on computer tomography (CT) scans from 7 patients with Korsakoff's syndrome, 7 age-matched alcoholic subjects, and 7 age-matched healthy control subjects. CT values were used to estimate tissue density and fluid volume in specified brain areas. Tissue density was assessed by averaging CT values in small (5 x 5 mm) areas sampled bilaterally in 6 specified areas--thalamus, head of the caudate nucleus, putamen, anterior white matter, posterior white matter, and centrum semiovale. We assessed fluid volume using a semiautomated computer algorithm that estimated the proportion of fluid in 7 brain regions--total ventricular space, third ventricle, interventricular region, frontal sulci, peri-Sylvian region, medial cerebellum, and vertex. For the patients with Korsakoff's syndrome, we also assessed the correlation between CT measures and performance on 6 cognitive and 12 memory tests. Compared with alcoholic subjects and healthy control subjects, patients with Korsakoff's syndrome had lower CT density values bilaterally in the region of the thalamus and had greater estimated fluid bilaterally in the region of the third ventricle. Alcoholic and healthy control subjects did not differ on these measures. Significant cortical atrophy in frontal sulcal and peri-Sylvian areas was detected both in patients with Korsakoff's syndrome and in alcoholic subjects. For patients with Korsakoff's syndrome, impairment on behavioral tests, and on memory tests in particular, was correlated with low-density values in the thalamus and with high fluid values in the region of the frontal sulci. Damage to diencephalic and frontal areas may especially contribute to the memory and cognitive impairment exhibited by patients with Korsakoff's syndrome.

Alcohol Amnestic Disorder↗
PubMed1987

Strength and duration of priming effects in normal subjects and amnesic patients.

In three separate experiments, we assessed the strength and duration of word completion effects in amnesic patients and two control groups. In Experiment 1 subjects studied words under a semantic orienting condition and were given tests of word completion and recognition memory after an immediate, 2-hr or 4-day delay. In the word completion test for Experiment 1, we presented three-letter word stems that could be completed to form several common words, one of which had been presented previously (e.g. MOT for MOTEL), and subjects completed each stem with the first word that came to mind. Priming effects were equivalent in amnesic patients and control subjects and they reached baseline levels within 2 hr. In Experiments 2 and 3, subjects studied words under either a semantic or a nonsemantic orienting condition, and word completion was tested at the same three delays using cues that uniquely specified the study words (e.g. JUI for JUICE; or A--A--In for ASSASSIN). In these experiments, amnesic patients exhibited both smaller and shorter lasting word completion effects than control subjects. Specifically, amnesic patients exhibited word completion effects that seldom lasted as long as 2 hr, whereas control subjects usually exhibited completion effects lasting 4 days. An important additional finding was that control subjects exhibited larger and longer-lasting word completion effects when tested under the semantic orienting condition than when tested under the nonsemantic orienting condition. Amnesic patients were not affected by this manipulation. Moreover, under the nonsemantic orienting condition, control subjects and amnesic patients performed similarly. The results show that word completion performance is not always fully intact in amnesic patients. Long-lasting word completion effects found in normal subjects may be mediated by declarative or elaborative retrieval processes, which are impaired in amnesic patients. If so, priming as measured by word completion methods is shorter lasting than recent studies of normal subjects would suggest.

Adult↗
PubMed1987

A neuropsychological study of fact memory and source amnesia.

We investigated the ability of amnesic patients to learn new facts (e.g., Angel Falls is located in Venezuela) and also to remember where and when the facts were learned (i.e., source memory). To assess the susceptibility of fact and source memory to retrograde amnesia, patients prescribed electroconvulsive therapy were presented facts prior to the first treatment and were tested after their second treatment. All amnesic patients exhibited marked fact memory impairment. In addition, some amnesic patients exhibited source amnesia (i.e., they recalled a few facts but then could not remember where or when those facts had been learned). Source amnesia was unrelated to the severity of the memory deficit itself, because patients who exhibited source amnesia recalled as many facts as the patients who did not. These results show that the deficit in amnesia includes an impairment in acquiring and retaining new facts. Source amnesia can also occur, but it is dissociable from impaired recall and recognition and appears to reflect difficulty in remembering the specific context in which information is acquired. The findings are discussed in terms of their significance for how memory is organized.

Adult↗
PubMed1987

Memory dysfunction and word priming in dementia and amnesia.

Memory performance of patients with the clinical diagnosis of Alzheimer's disease was compared with performance of patients with alcoholic Korsakoff's syndrome and patients with Huntington's disease. Although all patient groups exhibited impairment on tests of verbal memory, only patients with Alzheimer's disease exhibited impaired priming. Priming is an unconscious expression of recently encountered material, and it is intact even in severely amnesic patients. Because mildly demented patients with Alzheimer's disease exhibited impaired priming, damage to brain structures in addition to those damaged in the amnesic syndrome must occur at a relatively early stage of the disease process.

Aged↗
PubMed1986

Memory and metamemory: a study of the feeling-of-knowing phenomenon in amnesic patients.

Accuracy of the feeling of knowing was tested in patients with Korsakoff's syndrome, patients prescribed electroconvulsive therapy, four other cases of amnesia, and control subjects. In Experiment 1, we tested feeling-of-knowing accuracy for the answers to general information questions that could not be recalled. Subjects were asked to rank nonrecalled questions in terms of how likely they thought they would be able to recognize the answers and were then given a recognition test for these items. Only patients with Korsakoff's syndrome were impaired in making feeling-of-knowing predictions. The other amnesic patients were as accurate as control subjects in their feeling-of-knowing predictions. In Experiment 2, we replicated these findings in a sentence memory paradigm that tested newly learned information. The results showed that impaired metamemory is not an obligatory feature of amnesia, because amnesia can occur without detectable metamemory deficits. The impaired metamemory exhibited by patients with Korsakoff's syndrome reflects a cognitive impairment that is not typically observed in other forms of amnesia.

Adult↗
PubMed1986

Korsakoff's syndrome: a study of the relation between anterograde amnesia and remote memory impairment.

Patients with Korsakoff's syndrome were evaluated with nine tests of new learning ability and three tests of remote memory to determine the correlation between anterograde amnesia and remote memory impairment. There was no correlation between the severity of anterograde amnesia and either the overall severity of remote memory impairment (1940s-1970s) or the impairment observed for more remote time periods (1940s-1950s). However, the correlation between remote memory impairment and anterograde amnesia became progressively stronger with the recency of the time period and was significant for the 1960s-1970s or the 1970s alone. The results support the view that the extensive remote memory impairment in Korsakoff's syndrome is, at least in part, distinct from and unrelated to anterograde amnesia. The more severe impairment observed for more recent time periods could be related to anterograde amnesia in that it reflects anterograde amnesia that was either already in place or progressively developing during recent years. The ability to recall very remote events seems therefore to depend on brain mechanisms distinct from those required for new learning or for recall of more recent events.

Alcohol Amnestic Disorder↗