Gaffan David
Department of Experimental Psychology, University of Oxford, South Parks Road, Oxford OX1 3UD, UK.
Philos Trans R Soc Lond B Biol Sci. 2002 Aug 29;357(1424):1111-21. doi: 10.1098/rstb.2002.1110.
The medial temporal lobe is indispensable for normal memory processing in both human and non-human primates, as is shown by the fact that large lesions in it produce a severe impairment in the acquisition of new memories. The widely accepted inference from this observation is that the medial temporal cortex, including the hippocampal, entorhinal and perirhinal cortex, contains a memory system or multiple memory systems, which are specialized for the acquisition and storage of memories. Nevertheless, there are some strong arguments against this idea: medial temporal lesions produce amnesia by disconnecting the entire temporal cortex from neuromodulatory afferents arising in the brainstem and basal forebrain, not by removing cortex; the temporal cortex is essential for perception as well as for memory; and response properties of temporal cortical neurons make it impossible that some kinds of memory trace could be stored in the temporal lobe. All cortex is plastic, and it is possible that the same rules of plasticity apply to all cortical areas; therefore, memory traces are stored in widespread cortical areas rather than in a specialized memory system restricted to the temporal lobe. Among these areas, the prefrontal cortex has an important role in learning and memory, but is best understood as an area with no specialization of function.
内侧颞叶对于人类和非人类灵长类动物的正常记忆处理而言不可或缺,这一点已被如下事实所证明:内侧颞叶的大面积损伤会导致新记忆获取严重受损。基于这一观察结果,人们普遍推断内侧颞叶皮质,包括海马体、内嗅皮质和嗅周皮质,包含一个或多个专门用于记忆获取和存储的记忆系统。然而,有一些有力的论据反对这一观点:内侧颞叶损伤导致失忆是因为将整个颞叶皮质与源自脑干和基底前脑的神经调节传入纤维断开连接,而非通过切除皮质;颞叶皮质对于感知和记忆均至关重要;并且颞叶皮质神经元的反应特性使得某些类型的记忆痕迹不可能存储在颞叶中。所有皮质都是可塑的,并且有可能相同的可塑性规则适用于所有皮质区域;因此,记忆痕迹存储在广泛的皮质区域,而非局限于颞叶的专门记忆系统中。在这些区域中,前额叶皮质在学习和记忆中具有重要作用,但最好将其理解为一个没有功能专门化的区域。