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Biomedical subjects

P Nichelli

Publications and source records attributed to P Nichelli.

At least 37 records · Page 2Linked to original sources

Precision and accuracy of subjective time estimation in different memory disorders.

The aim of this study was to evaluate how different memory disorders affect subjective time durations. For this purpose we studied prospective time estimations in 4 amnesic (A) and in 15 Alzheimer's disease (AD) patients, and compared their performance with that of 5 matched young normal controls (YC) and 15 elderly subjects (EC). For the short-time durations we asked the subject to repeatedly reproduce a standard interval of 1 s. To test how subjects evaluated longer time durations, we choose a verbal estimation procedure. The subjects' task was to read either 5, 10, 20, or 40 digits appearing one at a time, while concurrently keeping the rhythm of 1 key press per second. At the end of each sequence, subjects had to judge the elapsed time from the beginning of the trial. Results showed that amnesics can correctly reproduce 1-s intervals. However, their accuracy of verbal estimates of longer durations was severely impaired. AD patients showed increased variability on repeated reproduction of 1-s intervals and were both inaccurate and imprecise in their verbal estimate of longer durations. Using the framework of the Scalar Timing Model, we conclude that amnesic patients exhibit a deficit in encoding and storing the current time for intervals that exceed their short-term memory range, while AD patients show a pattern of deficit that is explained by a more widespread involvement of both the clock, the memory, and the decisional mechanisms.

Adult

Anarthria impairs subvocal counting.

We studied subvocal counting in two pure anarthric patients. Analysis showed that they performed definitively worse than normal subjects free to articulate subvocally and their scores were in the lower bounds of the performances of subjects suppressing articulation. These results suggest that subvocal counting is impaired after anarthria.

Adult

Inner speech in anarthria: neuropsychological evidence of differential effects of cerebral lesions on subvocal articulation.

The role of articulation in verbal short-term memory was investigated in two anarthric patients, C.M. and F.C., both showing normal comprehension for written and spoken language, above average intelligence and visuo-spatial abilities. Based on experimental results, we propose that subvocal articulation might be impaired in anarthric patients in different ways, according to the site of lesion: in 'locked-in' patients only the articulatory rehearsal processes necessary to enhance memory performances is involved, while in cortical anarthric patients the lesion affects the articulatory recoding processes involved in transferring visually presented material into an articulatory form for better retention.

Acoustic Stimulation

Different patterns of dissociation in unilateral spatial neglect.

The aim of this paper is to discuss the issue of dissociations found in unilateral spatial neglect according to the modality of space exploration and the nature of the task. For this purpose we present a reanalysis of the data from a recent paper of Gentilini et al. (1989) comparing visual and blindfolded exploration of a computer keyboard and discuss the performance of a left-brain-damaged patient with right visuospatial neglect and left-sided neglect dyslexia. We conclude that unilateral spatial neglect cannot be interpreted as a disruption of a single attentional mechanism, but rather it reflects impaired attentional mechanisms at several levels of cognitive processing.

Adult

Apperceptive and associative forms of prosopagnosia.

Three prosopagnosic patients were given four face tests, two perceptual (an unknown face identification test and an age estimation test) and two also implying memory (a familiarity check test and a famous face recognition test). The patients' performance was assessed with reference to the score distribution of the normal population. A patient was found to fail both perceptual and mnestic tests, without any noticeable difference between them. Also the second patient had poor scores on both kinds of tests, but his impairment was significantly greater on the perceptual ones. The third patient, on the contrary, showed no perceptual deficit and only failed the mnestic tests. His inability to recognize the individuality of an item among members of the same category was strictly confined to faces and never present for other classes of stimuli (cars, coins, personal belongings). This finding is supportive of the thesis that in a few patients the deficit underlying prosopagnosia is face specific.

Adult

Selective spatial attention and length representation in normal subjects and in patients with unilateral spatial neglect.

The aim of this study was to assess whether perceptual representation along the horizontal axis is affected by hemispace position of the stimulus or by orienting attention to one side. Ten control subjects and 10 right brain damaged patients with left unilateral spatial neglect (USN) were asked to bisect lines of five lengths in three space positions (left, center, right) and under three cueing conditions (no cue, left cue, right cue). Normal controls showed significant displacement of bisection opposite to the side of hemispace presentation and toward the side of cueing. USN patients showed a bisection error toward the right end which increased with lines placed in the left hemispace and decreased with lines placed in the right hemispace and when attention was oriented toward the left side. We conclude that (1) In absence of cues normal subjects tend to overestimate the portions of space closer to their body midline; (2) both normal and USN patients tend to overestimate portions of space that they direct their attention to; (3) USN patients' performance without cueing is consistent with an attentional shift toward the right hemispace implying a gradient of overestimation of the right-most portions of space. A common neural substratum for directing attention and space representation can explain these findings.

Aged

Frequency and recognition judgement by young and elderly adults.

The aim of this study was to compare the performance of young and elderly subjects at two different memory tasks (frequency judgement and word recognition) under two retrieval conditions (forced and unforced choice) in order to determine the source of any incidental age-related memory deficit. Fifty young subjects (aged from 15 to 35 yr) and 50 elderly subjects (aged from 60 to 85) participated in this study. The results showed a significant difference between age groups at word recognition independent of retrieval condition, while frequency judgement was found significantly impaired in elderly as compared with young subjects only when an unforced choice procedure was required. It is suggested that age related memory impairment is not dependent on the nature of the task, but rather to the amount of retrieval information which is given to the subjects.

Adolescent

Preserved memory abilities in thalamic amnesia.

The pattern of preserved learning abilities is described in a severely amnesic patient after bilateral thalamic infarction. Experimental findings cannot be accounted for both by the view that only episodic memory is impaired in amnesia, while semantic memory is spared, and by the theory that what is spared in amnesia is procedural learning contrasted with impaired declarative memory. In agreement with Warrington and Weiskrantz (1982), diencephalic amnesia is considered to be a disconnection syndrome between the frontal and temporal lobes. The conditions for showing spared and impaired memory in amnesics are specified on the basis of the performance of the patient and of the data available in the literature. This allows us to derive practical suggestions for programmes aimed at remediation of memory defects.

Adult

Semantic amnesia with preservation of autobiographic memory. A case report.

A 44-year-old woman showed, following an episode of encephalitis, an impoverished knowledge of the meaning and attributes of words and their referents, in spite of intact command of grammatical-syntactic rules and preserved perceptual abilities. There was also a complete loss of the stock of notions she had acquired over her life and constituting the cultural background of a person, in contrast with normal memory for autobiographic events. The case is interpreted as an instance of semantic amnesia. MRI showed damage confined to the antero-medial part of the left temporal lobe.

Adult

An Italian series of patients with organic dementia.

A series of 224 patients with organic mental deterioration, including 129 patients with presumptive Alzheimer dementia, is described chiefly from the neuropsychological standpoint. Several methodological problems arising from research on dementia are discussed.

Adult

Three-year neuropsychological follow-up of patients with reversible ischemic attacks.

A short neuropsychological test battery designed to measure language, memory and visuospatial abilities was administered to 217 patients with reversible ischemic attacks. Patients were tested twice: the first time more than one month, but less than one year, from the last ischemic episode, and the second time three years later. A comparison between the first and the second testing session did not disclose any significant worsening. The degree of atherosclerosis and the occurrence of further ischemic episodes during the follow-up period were found to be unrelated to change in performance at the test battery. These results seems to challenge the hypothesis that multi-infarct dementia may follow apparently reversible, or even clinically silent, ischemic episodes.

Follow-Up Studies

Exposure times for colour discrimination in the parafoveal field: a new procedure to detect subtle visual dysfunction in multiple sclerosis patients.

A new procedure to test colour discrimination in the parafoveal field is described. This method was used on 25 healthy controls and 25 subjects having a definite clinical or laboratory-supported diagnosis of multiple sclerosis, with or without a previous history of optic neuritis. The test proved to be sensitive in detecting visual dysfunction even in some patients in whom the standard technique of pattern-reversal evoked potential recordings yielded a normal result.

Adult

Neuropsychological evaluation of mild head injury.

Neuropsychological deficits following mild head injury have been reported recently in the literature. The purpose of this study was to investigate this issue with a strict methodological approach. The neuropsychological performance of 50 mildly head injured patients was compared with that of 50 normal controls chosen with the case-control approach. No conclusive evidence was found that mild head injury causes cognitive impairment one month after the trauma.

Adult

Intellectual and memory impairment in moderate and heavy drinkers.

Heavy drinkers (more than 2 liters of wine per day), without clinical evidence of brain dysfunction, moderate drinkers (1 liter of wine per day) and control subjects (no more than 250 cc of wine per day) were given the Progressive Matrices test and two learning tests, one tapping verbal memory and the other spatial memory. Heavy drinkers' performance was significantly worse than that of the other groups on the Progressive Matrices test and the spatial learning test. With a more lenient method of analysis, the difference between heavy drinkers and controls on the verbal learning test and that between moderate drinkers and controls on the Progressive Matrices test were also significant. When the influence of intelligence on memory performance was partialled out by covarying memory scores for Progressive Matrices scores, all differences on the verbal learning test disappeared whereas the spatial learning test still discriminated heavy drinkers from mild drinkers and controls. The bearing of these findings on the continuum of impairment hypothesis and the right hemisphere vulnerability hypothesis is discussed.

Adult