Maguire E A
Wellcome Department of Cognitive Neurology, Institute of Neurology, London, UK.
Philos Trans R Soc Lond B Biol Sci. 1997 Oct 29;352(1360):1475-80. doi: 10.1098/rstb.1997.0134.
Functional brain imaging in humans is beginning to reveal a network of brain regions that subserve topographical learning: the medial parietal lobe, the posterior cingulate gyrus, occipitotemporal areas, the parahippocampal gyrus and the right hippocampus. These findings illuminate the patient lesion literature where all of these brain regions have been implicated at one time or another in cases of topographical disorientation. Once topographical information is acquired, the neuroanatomy that supports its use from either episodic or semantic memory is similar to that activated during encoding. The specific contributions of extrahippocampal regions within the topographical memory system are being revealed, such as the role of the right parahippocampal gyrus in object-in-place encoding. The right hippocampus is clearly involved in processing spatial layouts over long as well as short time-courses, and participates in both the encoding and the retrieval of topographical memory. The ventromedial orbitofrontal cortex is recruited when information in the topographical memory system is not sufficient to produce direct navigation to a goal place.
内侧顶叶、后扣带回、枕颞区、海马旁回和右侧海马体。这些发现为患者病变文献提供了新的解读,在地形定向障碍病例中,所有这些脑区都曾被认为与之存在关联。一旦获取了地形信息,支持从情景记忆或语义记忆中调用该信息的神经解剖结构与编码过程中激活的结构相似。地形记忆系统中海马旁回区域的具体作用正在被揭示,比如右侧海马旁回在物体位置编码中的作用。右侧海马体显然在处理长时间和短时间的空间布局方面都发挥着作用,并且参与地形记忆的编码和检索过程。当地形记忆系统中的信息不足以直接导航到目标地点时,腹内侧眶额皮质就会被激活。