PubMed Health⌕ Search

Biomedical subjects

A S Nava

Publications and source records attributed to A S Nava.

4 recordsLinked to original sources

Circuit mechanisms underlying memory encoding and retrieval in the long axis of the hippocampal formation.

Circuits within the hippocampal formation are active during memory processing. Here we used functional magnetic resonance imaging (fMRI) to examine multiple sites across the long axis of the hippocampal formation while subjects performed different phases of an associative memory task, learning to associate faces with names. Viewing faces and hearing names in isolation resulted in separate hippocampal activation patterns. Pairing faces with names resulted a spatially redistributed activation pattern, rather than a simple summation of the activation patterns resulting from viewing faces and hearing names in isolation. Recalling names when cued with faces reactivated a pattern similar to that found during paired training. Finally, the activation patterns representing faces and names were found to be experience dependent, emerging with repeated exposure. Interpreted in the context of hippocampal anatomy and physiology, these findings reveal hippocampal circuit mechanisms that underlie memory encoding and retrieval.

Adult↗

Evaluating the function of hippocampal subregions with high-resolution MRI in Alzheimer's disease and aging.

Memory ability declines in older age groups. There is a growing list of physiological processes that target the hippocampal formation in an age-related fashion, and some might underlie the hippocampal component of memory decline. The hippocampal formation is comprised of separate subregions, and physiological processes differentially target these subregions. The ability to evaluate the functional integrity of individual subregions-performing subregional analysis-is a major clinical goal since it can aid in the diagnosis of memory decline, as well as in elucidating mechanisms of disease and testing potential interventions. Because of its superior spatial resolution, magnetic resonance imaging (MRI) is best suited to accomplish this goal. Despite limited success, most functional MRI (fMRI) protocols have difficulty in performing complete subregional analysis of the hippocampal formation. Here we address sources of difficulty by (1) generating T2* -weighted maps of the hippocampal formation with sub-millimeter resolution; and (2) by adapting an approach used by animal investigators to identify the hippocampal subregions using anatomical landmarks. The protocol is tested in patients with Alzheimer's disease and in healthy controls, in an effort to determine whether it can detect neuronal dysfunction. Results showed diminished signal in the hippocampal formation of patients with Alzheimer's disease (AD) compared to controls, and multivariate analysis showed that this difference was most prominent in the entorhinal cortex. The protocol can be used to perform subregional analysis of the hippocampal formation. Testing the protocol in other clinical populations is needed to demonstrate its efficacy in evaluating the neuronal integrity of all hippocampal subregions.

Aged↗

[Mental anorexia].

After a brief theoretical introduction on mental anorexia the authors present a clinical case with this pathology, a male patient, which is rare in this pathology, who had been admitted to the Psychiatric Department of S. Francisco Xavier Hospital in 1994. Firstly the authors present a brief chronological summary of the patient's history in order to focus on the insidious development of this pathological process with increasing severity. Secondly the essential features of the disease are explained for the clinical evaluation of this patient. Finally the therapeutic approach is presented, drafted in a multidisciplinary perspective.

Adult↗

[Hysterical psychoses revisited].

The author, after reviewing the literature about hysterical psychosis, briefly presents some of the surveys made in this area. The point of departure are the Hollender and Hirsh criteria for hysterical psichosis defined in 1964. These authors assumed that the clinical picture responds to a psychopathological entity which results from a single process. The other surveys presented try to prove this concept through case report and epidemiological research. The author concludes leaving this concept as an open question, suggesting that this could be a pathway for further research.

Conversion Disorder↗