Biomedical subjects

G A Carlesimo

Publications and source records attributed to G A Carlesimo.

At least 19 recordsLinked to original sources

PubMed2001

Procedural learning deficit in children with Williams syndrome.

The present study was aimed at evaluating implicit memory processes in subjects with Williams syndrome (WS) and comparing them to mental-age (MA) matched normal children. For this purpose, tests of verbal and visuo-perceptual explicit memory, verbal and visual repetition priming as well as procedural learning tasks were administered to 12 WS and 12 MA matched subjects. WS subjects showed a level of repetition priming similar to that of MA normal controls. In contrast, WS children showed a reduced learning rate in the two procedural tasks. Although deficient explicit memory and executive dysfunction cannot be excluded from the performance of WS subjects, these results suggest a specific deficit of procedural learning in this particular group of mentally retarded children. This finding is relevant for our knowledge about the qualitative aspects of the anomalous cognitive development in mentally retarded people and the neurobiological substrate underlying this development.

Adolescent↗

PubMed2001

Neuropsychological assessment of patients with severe neuromotor and verbal disabilities.

In people with cerebral palsy, severe neuromotor disability and communication problems make standard neuropsychological tests impossible. Therefore, alternative methods and specific aids must be developed to allow patients to autonomously respond to the examiner's questions. In the present individuals and study, a neuropsychological evaluation was made of a group of eight individuals with cerebral palsy, and severe neuromotor and verbal disabilities, and a group of 19 normal subjects matched for mental age. The tests were administered using an autonomous selection method in which the patient selects the various responses through specific aids without the examiner's interference. Patients' group performances in visuo-spatial and memory tests were on average lower than the mean of the control group. In the verbal domain, patients' scores were comparable to those of normal children in all tests but one assessing the comprehension of syntactically complex sentences. An analysis of the patients' individual performances also revealed heterogeneous cognitive profiles: some patients presented a homogeneously distributed cognitive impairment and others a more selective one. This finding is particularly important for planning differentiated learning programmes, and identifying suitable communicative instruments in rehabilitative and educational settings.

Adolescent↗

PubMed2001

Patterns of cognitive impairment in secondary progressive stable phase of multiple sclerosis: correlations with MRI findings.

Cognitive impairment is commonly described in multiple sclerosis (MS), but conflicting results have been reported about its pattern by previous studies focused on heterogeneous patient groups. The aim of this study was to investigate the cognitive skills of a homogeneous group of secondary progressive MS patients, and to examine the relationship of this impairment to MRI parameters. Forty-four MS patients underwent a series of neuropsychological tests devised to explore the main cognitive domains, and T1- and T2-weighted brain MRI. Results showed the presence of deficits of attention, memory, planning abilities, problem-solving and conceptual reasoning (frontal functions) in a subgroup of MS patients. Correlations between the performance in some 'frontal' tests and the extent of frontal lobe MRI lesional area were present, but rather unspecific, the same performance being also correlated with the nonfrontal lesional area. These findings suggest that in MS, overall macroscopic and microscopic brain damage is more important than the corresponding focal brain disease, even in determining deficits of selective cognitive domains.

Adult↗

PubMed2000

Developmental dissociation between visual and auditory repetition priming: the role of input lexicons.

Contrasting theories posit the source of verbal repetition priming in the activation of preexisting memory representations in the input lexicons or, alternatively, in the formation of new episodic memory traces. The two hypotheses predict different outcomes from the comparison of developmental rates of visual and auditory verbal repetition priming. The activation theory predicts a developmental dissociation between the early maturation of auditory priming and the later maturation of visuo-verbal priming, contingent upon the discrepant acquisition rates of the auditory and visual input lexicons. The episodic theory, instead, does not make such an assumption. We administered visual and auditory implicit Stem Completion to 40 reading beginners (first-graders), 40 third-graders and 20 fifth-graders. Consistent with previous reports, auditory priming was stable across different age groups. Visual priming and a measure of lexicality in reading, instead, showed a parallel developmental increase passing from reading beginners to third-graders and to fifth-graders. In the overall group, visual priming and the measure of lexicality in reading were significantly associated. These data describe a new developmental dissociation in the memory abilities of normal children and provide further support for the hypothesis that repetition priming for words reflects facilitated access to previously established memory representations.

Auditory Perception↗

PubMed2000

Deficient intentional access to semantic knowledge in patients with severe closed-head injury.

Patients after severe closed-head injury (CHI) demonstrate reduced ability to spontaneously utilize semantic memory during word-list memory tests and when requested to answer questions regarding general knowledge. However, they show normal lexical facilitation in both automatic and intentional semantic priming paradigms. The present study was aimed at investigating two alternative hypotheses a) that the deficit in semantic processing after CHI is the result of impaired access to an otherwise normal semantic system or b) that it reflects a loss of knowledge from a deteriorated semantic store. For this purpose, the performance of 15 CHI patients on an automatic Semantic Priming paradigm and on tests of Picture Naming and Semantic Judgment were compared to those of 14 normal controls (NC). Although CHI patients' reaction times were significantly slower than those of NCs, the semantic priming effect was comparable in the two groups. Instead, CHI patients performed significantly worse than NCs in the naming and semantic judgment tasks. These results provide evidence that CHI patients access semantic memory automatically at a normal rate. However, when the task is more demanding in terms of processing requests, then CHI patients' performance becomes defective.

Adult↗

PubMed2000

Implicit and explicit memory: a functional dissociation in persons with Down syndrome.

This study aimed at investigating implicit and explicit long-term memory functioning in subjects with Down syndrome (DS) compared to Mental-Age (MA) matched normal children. For this purpose, tests of verbal and visuo-perceptual explicit memory, verbal and visual repetition priming and procedural learning tasks were administered to 14 DS and 20 MA subjects. Our results document comparable implicit memory abilities in the two groups. In contrast, regarding explicit memory, normal children performed better than DS individuals. These results reveal a functional dissociation between implicit and explicit memory in subjects with DS. Theoretical and rehabilitative implications are discussed.

Adult↗

PubMed1999

Word-list learning in normally developing children: effects of semantic organization and retention interval.

Immediate and 15-min delayed recall of semantically related or unrelated word lists was investigated in 144 normally developing children ranging from 5 to 10 years of age. Immediate recall for the related and unrelated lists increased in a parallel fashion as a function of age. The ability to cluster semantically related items during immediate recall also improved with age. However, in no age class recall scores and clustering indexes were significantly associated. Forgetting rate passing from the last immediate to the delayed recall trial increased for the unrelated list but decreased for the related list of words as a function of age. Results of regression analyses revealed that a developmental increase in forgetting on the unrelated list was actually due to the higher number of words recalled in the last immediate trial by older children. As for the related list, instead, the larger reliance on the clustering strategy of recall by older children was responsible for the progressive reduction of forgetting.

Aging↗

PubMed1999

Lexical and conceptual components of stem completion priming in patients with Alzheimer's disease.

This study evaluated the hypothesis of dissociation between normal lexical but deficient conceptual repetition priming in patients with Alzheimer's disease (AD). For this purpose, we administered to patients with AD and age-matched normal controls the Stem Completion task. In Experiment 1, the level of word processing during study was manipulated by requiring subjects to count vowels (graphemic condition) or generate meanings (semantic condition) of target words. In Experiment 2, the presentation modality was varied during the study to obtain an intramodal and crossmodal repetition priming. Probably due to a floor effect of performance in the graphemic condition, in Experiment 1, AD patients exhibited lower priming than normal controls for the semantically processed words but comparable priming for the graphemically processed ones. In contrast, in Experiment 2, AD patients were poorly primed both in the intra- and crossmodal conditions. Results question the hypothesis of a lexical/conceptual dissociation in the repetition priming exhibited by AD patients and call for other explicative hypotheses of the dissociation between normal and deficient forms of repetition priming in degenerative dementia.

Aged↗

PubMed1999

Verbal working memory deficit in Parkinson's disease subjects.

The aim of the present work was to evaluate verbal working memory in patients affected by Parkinson's disease (PD). In particular, tests that explore the functionality of the Articulatory Loop and of the Central Executive during verbal tasks were given. PD patients displayed normal phonological similarity, word length and word frequency effects in a Word span task, thus demonstrating adequate retention capacity of the phonological store, normal functioning of the articulatory rehearsal mechanism and a normal contribution of lexical-semantic knowledge to verbal immediate recall. In the Brown-Peterson task, PD patients showed abnormal performance decay on the letter recall task when articulatory rehearsal was inhibited by a serial subtraction concurrent task. These data provide evidence for normal functioning of the Articulatory Loop in PD patients. However, when the verbal recall task is more attention demanding, PD patients show deficient performance levels, presumably due to depleted processing resources by the Central Executive.

Adult↗

PubMed1998

The role of morpho-volumetric and memory correlations in the diagnosis of early Alzheimer dementia.

The aim of the present study was to assess selective atrophy of the temporal lobe and amygdala in the early stages of Alzheimer dementia (AD). Magnetic resonance imaging (MRI) measurements and the presence of highsignal lesions (HSL) were analysed in 31 patients with mild to moderate probable AD and 22 controls. In the AD group, MRI findings were compared with cognitive variables and specific features of memory functions. Alzheimer patients showed a significant reduction in volumetric measurement compared with controls in the total volume (P < 0.01), temporal lobe (P < 0.01) and amygdala (P < 0.05). The temporal lobe/brain volume ratio was also significantly reduced in AD subjects (P < 0.05). Atrophy of temporal structures was significantly related to the degree of episodic and semantic memory impairment according to a material-specific effect. No significant correlations between amygdala and cognitive variables were found. The results of our study confirm the usefulness of measures of temporal lobe atrophy assessed with MRI in the diagnosis of AD. In contrast, HSL are relatively common in AD patients (12/31 cases) and were not related to volumetric findings, severity of dementia or functional disability.

Aged↗

PubMed1998

Associative visual agnosia resulting from a disconnection between intact visual memory and semantic systems.

We report the case of a patient (RC) who developed a severe visual agnosia, associated to alexia without agraphia, color anomia and amnesia, following an ischemic stroke in the territory supplied by the left posterior cerebral artery. Based on his proficient performance on tests evaluating analysis of elementary visual features, formation of viewer-centered and object-centered representations of visual stimuli and discrimination between drawings representing real and unreal objects, we concluded that the critical locus of deficit was a disconnection between the normally functioning visual memory store and the semantic system. RC's disturbance in visual processing of human faces paralleled his recognition disorder of other classes of objects. The possible contribution of neurobiological factors in determining RC's agnosic deficit is discussed.

Aged↗

PubMed1998

Retrograde memory deficits in severe closed-head injury patients.

A battery of tests evaluating different aspects of retrograde memory (autobiographical, public events, semantic knowledge) was administered to a group of 20 patients who had suffered from a severe closed-head injury (CHI) and who had recovered from the post-traumatic amnesia period and to a group of sex-, age- and education-matched normal controls. Results document a high prevalence of retrograde memory deficits among CHI individuals. The deficit involves both autobiographical and public events memories and extends to early acquired basic and cultural knowledge. The severity of the deficit does not vary according to some kind of temporal gradient or according to a presumed hierarchical or modality organization of the semantic system. However, in the domain of basic knowledge it more severely affects information pertaining to living than nonliving categories of objects. With the exception of a more severe deficit in retrieving autobiographical events occurred in the last year before trauma in a subgroup of patients with focal lesions restricted to the right hemisphere as compared to left lesioned patients, no clear relationship emerges between severity of the retrograde memory deficit and locus of focal cerebral lesions as demonstrated by neuroradiological exams.

Adolescent↗

PubMed1998

Analysis of the memory impairment in a post-encephalitic patient with focal retrograde amnesia.

This study aimed to characterize the qualitative pattern of focal retrograde memory impairment shown by a post-encephalitic patient (AV). AV's memory deficit encompassed autobiographical data, public events and famous people. In a public events questionnaire, she demonstrated a smooth negative temporal gradient with good recollection of events that occurred about 15 years before the disease but poor memory of more recent events. Her visual input lexicon was unimpaired, as demonstrated by normal lexicality judgment for words and normal familiarity judgment for proper names, but she was poor in familiarity judgment for famous faces (prosopagnosia) and in accessing the meaning of words or specific information about people. The cerebral MRI demonstrated widespread abnormal intensity areas encroaching upon the white matter of temporal, parietal and occipital lobes but sparing temporal poles and orbito-frontal cortex.

Adult↗

PubMed1998

Memory performances in young, elderly, and very old healthy individuals versus patients with Alzheimer's disease: evidence for discontinuity between normal and pathological aging.

In this study we compared memory performances of 29 probable patients with AD (17 mildly and 12 moderately demented) with those of 39 healthy young subjects, 36 elderly subjects (matched with the AD group for age and years of schooling), and 19 healthy very old subjects. In most of the memory tasks used in the present study, a progressive decline in performance was observed passing from the Young to the Elderly to the Very Old to the AD group. However, patients with AD were selectively impaired in the backward reproduction of verbal and spatial span sequences and in the semantic encoding of verbal material. These data are consistent with the hypothesis of not only quantitative but also a qualitative discontinuity between the process of normal aging and the dementia syndrome.

Adult↗

PubMed1997

Forgetting from long-term memory in severe closed-head injury patients: effect of retrieval conditions and semantic organization.

This study was aimed at investigating long-term forgetting in chronic survivors of severe closed-head injury (CHI). For this purpose, performance decay passing from a 30-sec- to a 60-min-delay test in four memory procedures (Free Recall of unrelated stimuli, Free Recall of related stimuli. Cued Recall and y/n Recognition) of 20 CHI and 20 normal controls was analyzed. Comparable 30-sec-delay performance in CHI and control patients were obtained by manipulating exposure times to study material during the learning phase. Results demonstrated accelerated forgetting in CHI patients in the Free Recall of the related list only. This finding was particularly evident in CHI patients suffering from a focal temporal lobe lesion. These data are discussed in light of retrieval and encoding deficits characterizing memory disorders in CHI patients.

Adolescent↗

PubMed1997

Word-list forgetting in young and elderly subjects: evidence for age-related decline in transferring information from transitory to permanent memory condition.

This study aimed at investigating different memory components involved in word list forgetting by young and elderly healthy individuals. For this purpose, we analyzed in 55 young (age range 20-35) and 50 aged (age range 60-80) healthy subjects the memory decay passing from the fifth immediate to the delayed recall trial of the Rey's Auditory Learning task as a function of the position of the words in the list. Young and elderly groups displayed the same forgetting rate for words recalled from the primacy and mid-list tracts of the serial position curve. However, memory loss for the recency positions was disproportionately larger in the elderly than in the young group. These data demonstrate that aged subjects rely on short-lived memory processes in immediate recall of terminal list items more extensively than young subjects and, as a consequence, a larger proportion of words become inaccessible to them following a delay.

Adult↗

PubMed1997

Long-term memory in mental retardation: evidence for a specific impairment in subjects with Down's syndrome.

This study aimed at investigating long-term memory functioning in Down's syndrome subjects (DS) as compared to individuals with mental retardation of different etiology (MR) and mental-age matched normal children (MA). For this purpose, tests of verbal and visuo-perceptual explicit memory and a verbal repetition priming task were administered to 15 DS, 15 MR and 30 MA subjects. Our results document comparable verbal priming in the three groups. As for explicit memory, normal children performed better than MR individuals, and these, in turn, better than DS subjects. Compared to MR subjects, DS subjects were particularly deficient in organizing verbal material according to its categorical structure and in actively retrieving stored information. These results support a view positing heterogeneity of neuropsychological deficits across distinct etiology MR groups.

Adolescent↗

PubMed1996

Recency effect in anterograde amnesia: evidence for distinct memory stores underlying enhanced retrieval of terminal items in immediate and delayed recall paradigms.

This study was devised to investigate immediate and delayed recency effects in anterograde amnesic patients. For this purpose, a word-list immediate recall paradigm and a modified version of the procedure devised by Baddeley and Hitch [Attention and Performance, Erlbaum, NJ, 1977] for eliciting the recency effect in delayed recall conditions was administered to a sample of amnesic patients and to a group of age-matched healthy subjects. Amnesics disclosed a fully normal recency effect in the immediate recall paradigm and a deficient recency effect in the delayed recall condition. These data, taken together with experimental evidence from a patient affected by a pure form of phonological short-term memory impairment [35], draw a double neuropsychological dissociation suggesting a differential origin for the two kinds of recency effects: a short-term memory output underlying enhanced recall of terminal items in immediate recall paradigms, and an ordinal retrieval strategy applied to long-term memory stored units at the root of the delayed recency effect.

Adult↗