Transient global amnesia and functional retrograde amnesia: contrasting examples of episodic memory loss.

We studied 11 patients with transient global amnesia (TGA) and ten patients with functional retrograde amnesia (FRA). Patients with TGA had a uniform clinical picture: a severe, relatively isolated amnesic syndrome that started suddenly, persisted for 4-12 h, and then gradually improved to essentially normal over the next 12-24 h. During the episode, the patients had severe anterograde amnesia for verbal and non-verbal material and retrograde amnesia that typically covered at least two decades. Thirty hours to 42 days after the episode, the patients had recovered completely and performed normally on tests of anterograde and retrograde amnesia. By contrast, patients with FRA had a sudden onset of memory problems that were characterized by severe retrograde amnesia without associated anterograde amnesia and with a clinical presentation that otherwise varied considerably. The episodes persisted from several weeks to more than two years, and some of the patients had not recovered at the time of our last contact with them. The uniform clinical picture of TGA and the variable clinical picture of FRA presumably reflect their respective neurologic (''organic'') and psychogenic (''non-organic'') aetiologies.     

The loss of episodic memories in retrograde amnesia: single-case and group studies

Retrograde amnesia in neurological disorders is a perplexing and fascinating research topic. The severity of retrograde amnesia is not well correlated with that of anterograde amnesia, and there can be disproportionate impairments of either. Within retrograde amnesia, there are various dissociations which have been claimed-for example, between the more autobiographical (episodic) and more semantic components of memory. However, the associations of different types of retrograde amnesia are also important, and clarification of these issues is confounded by the fact that retrograde amnesia seems to be particularly vulnerable to psychogenic factors. Large frontal and temporal lobe lesions have been postulated as critical in producing retrograde amnesia. Theories of retrograde amnesia have encompassed storage versus access disruption, physiological processes of 'consolidation', the progressive transformation of episodic memories into a more 'semantic' form, and multiple-trace theory. Single-case investigations, group studies and various forms of neuroimaging can all contribute to the resolution of these controversies.     

Focal retrograde amnesia: voxel-based morphometry findings in a case without MRI lesions

Focal retrograde amnesia (FRA) is a rare neurocognitive disorder presenting with an isolated loss of retrograde memory. In the absence of detectable brain lesions, a differentiation of FRA from psychogenic causes is difficult. Here we report a case study of persisting FRA after an epileptic seizure. A thorough neuropsychological assessment confirmed severe retrograde memory deficits while anterograde memory abilities were completely normal. Neurological and psychiatric examination were unremarkable and high-resolution MRI showed no neuroradiologically apparent lesion. However, voxel-based morphometry (VBM)-comparing the MRI to an education-, age-and sex-matched control group (n = 20) disclosed distinct gray matter decreases in left temporopolar cortex and a region between right posterior parahippocampal and lingual cortex. Although the results of VBM-based comparisons between a single case and a healthy control group are generally susceptible to differences unrelated to the specific symptoms of the case, we believe that our data suggest a causal role of the cortical areas detected since the retrograde memory deficit is the preeminent neuropsychological difference between patient and controls. This was paralleled by grey matter differences in central nodes of the retrograde memory network. We therefore suggest that these subtle alterations represent structural correlates of the focal retrograde amnesia in our patient. Beyond the implications for the diagnosis and etiology of FRA, our results advocate the use of VBM in conditions that do not show abnormalities in clinical radiological assessment, but show distinct neuropsychological deficits.     

Zooprophylaxis: old and new problems

In the present note the authors report on the most important works which have examined the application of zooprophylaxis as a means for malaria control from the onset of this century to the present day. The method of zooprophylaxis has evolved throughout the years in close connection with other problems, undoubtedly more important in the history of malaria, which in the present paper are amply discussed. From the very beginning this subject was the object of heated debates by those who retained it a valid method of malaria control and those who denied its validity, among whom some of the most important Italian and foreign malariologists. The experiments of zooprophylaxis received most attention in the twenties, but, following the works of Missiroli and co-workers in the early thirties by which the varieties of the "complex maculipennis" were identified, the interest on zooprophylaxis was less heightened. It should be noted, however, that the increase of cattle, and especially land reclamation, reduced considerably malaria endemicity in northern Italy where zoophilic varieties were most prevalent. Recently, renewed interest on zooprophylaxis has been shown in Pakistan, where some experiments on the use of cattle have led to an unexpected increase of malaria transmission.     

Dissociation of reproduction of conditioned vegetative and motor reactions during retrograde electroconvulsive amnesia]

It has been shown in chronic experiments on rats that electro-convulsive action applied in five to ten seconds after one-session conditioning completely precludes the reproduction of conditioned motor reactions, while conditioned bradycardiac reactions are clearly reproduced in tests one hour and 24 hours after elaboration. Unconditioned stimulus presented in another experimental situation six to seven days after elaboration and amnesic action, leads to a stable reproduction of the previously non-achieved conditioned motor reactions. The results obtained suggest that electrical seizures influence the reproduction of motor reactions, rather than fixation of temporary connection.     

The origin of angiosperms: New and old problems

Recent palaeobotanical discoveries assisted by the thorough morphological analysis of 'living fossils'-archaic extant plants-have brought to light many unexpected features of the early angiosperms and their immediate precursors, while studies in palaeoecology have provided a basis for deciphering the chronology of evolutionary events and their environmental forcing. Our previous ideas of what is primitive and what angiosperm ancestors looked like are presently under revision. We now have a clearer picture of how macroevolution proceeds and how a large taxon could come into being.     

Pursuing cardiac progenitors: regeneration redux

Recent studies have questioned the accepted dogma that the regenerative capacity of the heart following injury is limited. Several apparently distinct populations of resident cardiac progenitor cells may have the potential to regenerate functional heart muscle. Despite this progress, the physiologic role and therapeutic potential of cardiac resident progenitor cells remain unclear.     

Effects of frontal brain electroshock stimulation on eeg activity and memory in rats: Relationship to ECS-produced retrograde amnesia

Electroencephalographic changes occurring in rat brain following frontal cortex stimulation in non-lesioned rats and in rats with bilateral lesions in the region of amygdala were investigated in Experiment I. Seizure duration and EEG spike frequency varied systematically with current level. The amnesic effects of conventional ECS and frontal cortex stimulation were studied in Experiment II. Both treatments were highly effective in producing retrograde amnesia for an inhibitory avoidance response. The findings are interpreted as suggesting that the effectiveness of ECS in producing RA varies with the amount of current reaching the brain.     

The anatomy of organogenesis: novel solutions to old problems

Understanding anatomical aspects of mammalian organ development, in both normal and mutant animals, is important for basic biology and also for regenerative medicine and tissue engineering. The size and complexity of developing organs, together with variations in their detailed anatomy, has made the obtaining of high-resolution time-courses of anatomical change difficult to obtain. The fact that organ development tends to use the same genes as early embryogenesis also makes genetic manipulation difficult, as so many mutant embryos die before organogenesis begins. These problems have seriously hampered the study of organogenesis. Here, we describe three significant advances that promise solutions: (1) the production of GFP-reporter mice that can be used for high-resolution live-imaging of small tissues as they grow, (2) RNA interference, which allows the manipulation of specific genes at any stage of organ development, and (3) optical projection tomography, which allows medium-resolution three-dimensional images of complete embryos to be obtained easily. We finish by looking ahead to the prospects of uniting these three technologies to allow accurate, high-throughput screening of mutants and automated comparison of biological data with computer predictions.