Mesulam M
Bullard and Denny-Brown Laboratories, Beth Israel Hospital, Boston, MA 02215, USA.
Rev Neurol (Paris). 1994 Aug-Sep;150(8-9):564-9.
The association cortex of the human brain can be divided into unimodal and transmodal components. Unimodal (modality-specific) cortical areas are subdivided into upstream regions specialized for encoding unitary features of experience and downstream regions which are specialized for encoding composite features. Modality-specific features lead to multimodal knowledge through the mediation of transmodal areas in the brain. These transmodal areas include cortical regions that are conventionally designated as heteromodal, paralimbic and limbic cortex. Contrary to earlier formulations, it is no longer thought that these transmodal areas contain a convergent residue of knowledge. Instead, it appears that the role of these transmodal areas is to contain a road map for the multifocal binding and calling up of distributed information in multiple modalities. Knowledge can thus be encoded in a flexible distributed rather than rigid convergent form. Observations on patients with focal neurological lesions indicate that transmodal areas act like neural hubs (or gateways) for accessing critical domains of knowledge rather than as dedicated centers for specific cognitive functions. In the processes related to memory, a limbic structure such as the hippocampus does not act as a bank for specific memories but as a critical node for accessing distributed information related to recently acquired experience. Damage to a sufficient volume of the limbic system interferes with the coherence of recall and storage even though the constituent fragments of the corresponding experiences may remain stored quite well in other parts of the brain.(ABSTRACT TRUNCATED AT 250 WORDS)
人类大脑的联合皮层可分为单峰和跨峰成分。单峰(特定模态)皮层区域可细分为专门用于编码单一经验特征的上游区域和专门用于编码复合特征的下游区域。特定模态的特征通过大脑中跨峰区域的介导产生多模态知识。这些跨峰区域包括传统上被指定为异模态、边缘旁和边缘皮层的皮层区域。与早期的表述相反,人们不再认为这些跨峰区域包含知识的汇聚残余。相反,这些跨峰区域的作用似乎是包含一个路线图,用于多焦点绑定和唤起多种模态中的分布式信息。因此,知识可以以灵活的分布式而非刚性的汇聚形式进行编码。对局灶性神经病变患者的观察表明,跨峰区域就像神经枢纽(或网关),用于访问关键的知识领域,而不是作为特定认知功能的专用中心。在与记忆相关的过程中,诸如海马体这样的边缘结构并不是特定记忆的存储库,而是访问与最近获得的经验相关的分布式信息的关键节点。即使相应经验的组成片段可能在大脑的其他部位保存得相当好,但足够大面积的边缘系统受损会干扰回忆和存储的连贯性。(摘要截取自250字)