Vicari Stefano, Menghini Deny, Di Paola Margherita, Serra Laura, Donfrancesco Alberto, Fidani Paola, Milano Giuseppe Maria, Carlesimo Giovanni Augusto
IRCCS, Ospedale Pediatrico Bambino Gesù, S Marinella, Roma, Italy.
Neuropsychologia. 2007 Mar 2;45(4):704-15. doi: 10.1016/j.neuropsychologia.2006.08.004. Epub 2006 Sep 20.
We report the case of C.L., an 8-year-old child who, following the surgical removal of an ependymoma from the left cerebral ventricle at the age of 4 years, developed significant difficulties in retaining day-to-day events and information. A thorough neuropsychological analysis documented in C.L. a severe anterograde amnesic syndrome, characterised by normal short-term memory, but poor performance on episodic long-term memory tests. In particular, C.L. demonstrated virtually no ability to recollect new verbal information several minutes after the presentation. As for semantic memory, C.L. demonstrated general semantic competencies, which, depending on the test, ranged from the level of a 6-year-old girl to a level corresponding to her actual chronological age. Finding a patient who, despite being severely impaired in the ability to recollect new episodic memories, still demonstrates at least partially preserved abilities to acquire new semantic knowledge suggests that neural circuits implicated in the memorisation of autobiographical events and factual information do not overlap completely. This case is examined in the light of growing literature concerned with the dissociation between episodic and semantic memory in childhood amnesia.
我们报告了C.L.的病例,这是一名8岁儿童,在4岁时接受了左脑室室管膜瘤手术切除后,在保留日常事件和信息方面出现了严重困难。全面的神经心理学分析记录显示,C.L.患有严重的顺行性遗忘综合征,其特征是短期记忆正常,但在情景性长期记忆测试中表现不佳。特别是,C.L.在呈现新的言语信息几分钟后几乎没有能力回忆起来。至于语义记忆,C.L.表现出一般的语义能力,根据测试不同,其水平从6岁女孩的水平到与其实际年龄相当的水平不等。发现一名患者尽管在回忆新的情景记忆方面能力严重受损,但仍至少部分保留了获取新语义知识的能力,这表明涉及自传体事件记忆和事实信息记忆的神经回路并不完全重叠。鉴于越来越多关于儿童期遗忘症中情景记忆和语义记忆分离的文献,对该病例进行了研究。