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September 17, 2012
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Woman With Perfect Memory Baffles Scientists

December 8th, 2009

Patient Remembers Every Day and Almost Every Detail of Her Life

From ABCNEWS.Go.Com:

James McGaugh is one of the world’s leading experts on how the human memory system works. But these days, he admits he’s stumped.

McGaugh’s journey through an intellectual purgatory began six years ago when a woman now known only as AJ wrote him a letter detailing her astonishing ability to remember with remarkable clarity even trivial events that happened decades ago.

Give her any date, she said, and she could recall the day of the week, usually what the weather was like on that day, personal details of her life at that time, and major news events that occurred on that date.

Like any good scientist, McGaugh was initially skeptical. But not anymore.

“This is real,” he says.

Soon after AJ took over his life, McGaugh teamed with two fellow researchers at the University of California at Irvine. Elizabeth Parker, a clinical professor of psychiatry and neurology (and lead author of a report on the research in the current issue of the journal Neurocase), and Larry Cahill, an associate professor of neurobiology and behavior, have joined McGaugh in putting AJ through an exhaustive series of interviews and psychological tests. But they aren’t a lot closer today to understanding her amazing ability than they were when they started.

“We are trying to find out, but we haven’t hit ‘bingo’ yet,” says McGaugh.

His initial hypothesis, like several others, has turned out to be wrong — or at least incomplete.

McGaugh has spent decades studying how such things as stress hormones and emotions affect memory, and at first he thought AJ’s memories were of such emotional power that she couldn’t forget them.

But that hypothesis fell short of the mark when it became obvious that “the woman who can’t forget” remembers trivial details as clearly as major events. Asked what happened on Aug 16, 1977, she knew that Elvis Presley had died, but she also knew that a California tax initiative passed on June 6 of the following year, and a plane crashed in Chicago on May 25 of the next year, and so forth. Some may have had a personal meaning for her, but some did not.

“Here’s a woman who has very strong memories, but she has very strong memories of things for which I have no memory at all,” McGaugh says.

That became particularly clear one day when he asked her out of the blue if she knew who Bing Crosby was.

“I wasn’t sure she would know, because she’s 40 and wasn’t of the Bing Crosby era,” he says.

But she did.

“Do you know where he died?” McGaugh asked.

“Oh yes, he died on a golf course in Spain,” she answered, and provided the day of the week and the date when the crooner died.

When the researchers asked her to list the dates when they had interviewed her, she “just reeled them off, bang, bang, bang.”

She also told McGaugh that on the day after a particular interview, which took place several years ago, he flew to Germany.

“I said what? I went to Germany? I couldn’t even remember what year I had gone to Germany,” he says.

That level of recall suggests another hypothesis. Some people are able to recall past events by categorizing them. Certain events, or facts, are associated with others, and filed away together so that they may be easier to access. That’s a trick that is often used by entertainers who use feats of memory to wow their audience.

AJ does have “some sort of compulsive tendencies. She wants order in her life,” McGaugh says. “As a child, she would get upset if her mother changed anything in her room because she had a place for everything and wanted everything in its place.

“So she does categorize events by the date, but that doesn’t explain why she remembers it.”

Also, her degree of recall is so much greater than any other person’s in the scientific literature that it seems unlikely to be the complete answer, McGaugh adds.

She is also quite different from savants who have surfaced from time to time with extraordinary abilities in music, art or memory.

“Some of them can remember every single detail about the particular hobby that they have, such as baseball or calendars or art, but they are very narrow,” he says. McGaugh described one person who could memorize a piece of music instantly, and not forget it, but who “couldn’t make change or couldn’t take a bus because he didn’t know where he was.”

By contrast, AJ is a ” fully functioning person,” McGaugh says.

The researchers are preparing to take their work in a new direction in hopes of understanding what is going on here. It’s possible AJ’s brain is wired differently, and that may show up through magnetic resonance imaging. Testing is expected to begin within six months.

“We will be looking at her brain, using brain scanning techniques, to see if there’s anything that is dramatically different that we can point to,” McGaugh says.

Those of us with normal, very fallible memories function somewhat like a computer in that different areas of our brains are interconnected and thus better-suited for general memories. We know where we live and how to get to work, but we may not know what the weather was like on this date four years ago.

It’s possible that AJ’s brain has some “disconnections” that help her recall past events from her memory bank without interference from the parts of her brain that act as general processors. But the problem is that even if they find some interesting wiring through brain scans, the researchers will be limited in their conclusions by the fact that AJ seems to be unique.

So unique, in fact, that the Irvine team has given her condition a new name. They call it hyperthymestic syndrome, based on the Greek word thymesis for “remembering” and hyper, meaning “more than normal.”

Some day, the researchers say, they hope to know what’s different about AJ’s brain, but they are still a ways off.

“In order to explain a phenomenon you have to first understand the phenomenon,” McGaugh says. “We’re at the beginning.”

Direct Evidence Of Role Of Sleep In Memory Formation Is Uncovered

October 2nd, 2009

From ScienceDaily.com:

A Rutgers University, Newark and Collége de France, Paris research team has pinpointed for the first time the mechanism that takes place during sleep that causes learning and memory formation to occur.

It’s been known for more than a century that sleep somehow is important for learning and memory. Sigmund Freud further suspected that what we learned during the day was “rehearsed” by the brain during dreaming, allowing memories to form. And while much recent research has focused on the correlative links between the hippocampus and memory consolidation, what had not been identified was the specific processes that cause long-term memories to form.

As posted online September 11, 2009 by Nature Neuroscience, György Buzsaki, professor at the Center for Molecular and Behavioral Neuroscience at Rutgers University, Newark, and his co-researchers, Gabrielle Girardeau, Karim Benchenane, Sidney I. Wiener and Michaël B. Zugaro of the Collége de France, have determined that short transient brain events, called “sharp wave ripples,” are responsible for consolidating memory and transferring the learned information from the hippocampus to the neocortex, where long-term memories are stored.

Sharp wave ripples are intense, compressed oscillations that occur in the hippocampus when the hippocampus is working “off-line,” most often during stage four sleep, which, along with stage three, is the deepest level of sleep.

During stage four sleep, Buzsaki explains, “it’s as if many instruments and members of the orchestra come together to generate a loud sound, a sound so loud that it is heard by wide areas of the neocortex. These sharp, ‘loud’ transient events occur hundreds to thousands of times during sleep and ‘teach’ the neocortex to form a long-term form of the memory, a process referred to as memory consolidation.” The intensity and multiple occurrence of those ripples also explain why certain events may only take place once in the waking state and yet can be remembered for a lifetime, adds Buzsaki.

The researchers were able to pinpoint that sharp wave ripples are the cause behind memory formation by eliminating those ripple events in rats during sleep. The rats were trained in a spatial navigation task and then allowed to sleep after each session. Those rats that selectively had all ripple events eliminated by electrical stimulation were impeded in their ability to learn from the training, as compressed information was unable to leave the hippocampus and transfer to the neocortex.

Identification of a specific brain pattern responsible for strengthening learned information could facilitate applied research for more effective treatment of memory disorders.

“This is the first example that if a well-defined pattern of activity in the brain is reliably and selectively eliminated, it results in memory deficit; a demonstration that this specific brain pattern is the cause behind long-term memory formation,” says Buzsaki.

The research also represents a move toward a new direction in neuroscience research. While previous research largely has focused on correlating behavior with specific brain events through electroencephalogram, neuronal spiking and functional magnetic resonance imaging studies, increasingly researchers are challenging those correlations as they seek to identify the specific process or processes that cause certain events and behaviors to take place.

The research was performed at the Collége de France, Paris where Buzsaki worked as a distinguished visiting professor in 2008.

Smile Your Way to a Healthy Brain

July 19th, 2009

There are many upsides to smiling (pun intended). Phyllis Diller once said, “ A smile is a curve that sets everything straight.” And we’ve all heard the expression that “ the world looks brighter from behind a smile.” But beyond the fact that this simple act makes us feel good, smiling actually plays an important role in several key functions of the brain. Smiling activates brain circuits that enhance positive social interaction as well as allowing us to more fully experience empathy and express compassion. This leads to a reduction in stress, known to be damaging to the brain.

Researchers have determined that when humans experience stress, their adrenal glands produce excessive amounts of cortisol, the major stress hormone. And excess cortisol is specifically damaging to the area of the brain that processes information and stores that information as a memory. This is why stress ultimately is bad for memory and also explains the relationship between stress and increased risk for Alzheimer’s disease.

So how can you reduce your body’s production of this brain-damaging chemical? New research directly links smiling to lower levels of cortisol. Think of it. The simple act of putting a smile on your face can have a very positive effect on your brain health and may actually go a long way towards preserving your memory.

My advice for this issue is simple – just smile. And you can take that at face value.

A Runner for Whom Time and Distance Have No Meaning

July 9th, 2009

From HeraldTribune.com:

In the middle of the night, Diane Van Deren will leave her house against the foothills of the Rocky Mountains. She will cut west through the dark canyons with her running shoes and a headlamp, but without a kiwi-sized part of her right temporal lobe.
She used to run away from epileptic seizures. Since the surgery, she just runs, uninhibited by the drudgery of time and distance, undeterred by an inability to remember exactly where she is going or how to get back.
“It used to be, call for help if Mom’s not back in five hours,” Van Deren said. She laughed. “That rule has been stretched. I’ve got a 24-hour window now. Isn’t that sad?”
Van Deren, 49, had a lobectomy in 1997 and has since become one of the world’s great ultra-runners, competing in races of attrition measuring 100 miles or more. She won last year’s Yukon Arctic Ultra 300, a trek against frigid cold, deep snow and loneliness, and was the first woman to complete the 430-mile version this year.
This weekend she will run in the Hardrock 100 in Silverton, Colo. It has a total elevation gain of 33,000 feet and crosses the top of 14,048-foot Handies Peak. About 150 people will enter. About half will not finish the 100 miles within the allotted 48 hours.
For some, it will be the challenge of a lifetime. Van Deren does several such races every summer. She supplements the calendar with competitions around the world, some in the dead of winter.
On early-morning training runs, especially when pulling a sled with 60 pounds of sand through the snow, Van Deren sometimes startles hikers. They do not see under her blond hair, above her right ear, where an uneven crease maps where her skull was put back together.
They just see a smiling woman who appeared from nowhere — and someone who just might need help getting pointed in the right direction.
“When she is running, it helps her,” Don Gerber, a clinical neuropsychologist who has worked extensively with Van Deren, said of the hole in Van Deren’s brain. “In the rest of her life, it does not.”
Race preparation is the hardest. Not the training, which Van Deren does eagerly, but the packing. In stopping the seizures, her mind, otherwise sharp and unaffected, was robbed of part of its memory and organizational skills.
Her dining room table is covered with gear. She divides it into carefully marked bags that will await her at various aid stations, sometimes 40 miles apart, along the next course. Which bag needs a headlamp? Sunblock? Extra outerwear?
Van Deren can no longer read maps. Telling her to go 5 miles, turn left, then right, then left is an incalculable logarithm. She rarely runs a race without a wrong turn. “Everyone knows not to follow me now,” she said.
Gerber, who works at Craig Hospital, a rehabilitation hospital in Englewood, Colo., for people with brain or spinal-cord injuries, said that Van Deren “can go hours and hours and have no idea how long it’s been.” Her mind carries little dread for how far she is from the finish. She does not track her pace, even in training. Her gauge is the sound of her feet on the trail.
“It’s a kinesthetic melody that she hits,” Gerber said. “And when she hits it, she knows she’s running well.”
Her family and friends offer full support. Still, they worry.
“I’m just terrified we’re going to lose her,” said Barb Page, executive director of the Craig Hospital Foundation.
Running was always the self-prescribed antidote to seizures. When Van Deren felt an aura, a tingling sensation that signaled an upcoming seizure, she would lace her running shoes and go out the door. She never had a seizure while running.
Born Diane Kobs, she was a stellar multi-sport athlete who became a touring professional tennis player, unaware of her future bout with epilepsy. She married Scott Van Deren, taught tennis and dabbled in distance running.
Pregnant with the couple’s third child (Matt, now 19), Van Deren had what seemed an out-of-nowhere grand mal seizure. Then another.
Tests found a black mark on her brain, a scar of sorts, traced to an unexplained seizure that Van Deren had at 16 months. Like a burst dam, epileptic seizures flooded her life, three to five times per week.
For nearly a decade she worried when the next would strike. When Scott was at work? While driving?
Surgery to remove the part of the brain where seizures originate is sometimes possible, if the source is a concentrated spot. Van Deren’s head was tethered to electrodes. When she later saw the videotape of her next seizure, she witnessed what family and friends saw countless times: a rigid woman convulsing uncontrollably. Eyes rolled back. Blood dribbling from her mouth.
It was horrifying. And illuminating.
“I always thought epilepsy was my problem,” Van Deren said. “It wasn’t.”
She was eligible for surgery. She did not hesitate. She has not had a seizure since.
The surgery was not without costs. Van Deren struggles to remember people she recently met and has missed flights simply by getting too involved in a conversation at the gate.
“She never remembers where she parked,” Page said. “Never, not once, to this day.”
The lapses are not always amusing. Her husband placed photo collages around the house to help his wife remember vacations and family milestones that slipped past her memory’s reach. Robin Van Deren, the 21-year-old middle child, recently told her mother that she lost a part of her in the surgery. They cried together.
About seven years ago, Van Deren looked for help. She was teamed with Gerber.
He has taught her coping tricks to keep life organized, from placing the keys in the same spot every time to marking trail forks with a rock or stick, just in case she has to go back.
For someone who could not take a bath 12 years ago for fear of drowning from a seizure, every fork is just another challenge, happily accepted. That is why the text messages and e-mails from Van Deren so often come at about 3 in the morning, saying she is about to leave the house, maybe run up Pikes Peak.
They are usually sent from a BlackBerry that her kids have taught her to use. And they are usually filled with lots of exclamation points.

More doctor’s prescriptions may include brain games to improve mental acuity

June 15th, 2009

From USAToday.com:

Computer games have been inching their way into the medical world over the last few years and though your local hospital may not become a mini-arcade, experts say patients can expect to see more gaming in medical settings in the years to come, especially brain games.
About 350 medical experts, computer gaming professionals and entrepreneurs gathered last week at the fifth annual Games for Health Conference in Boston. For the first time, the conference featured a day of sessions specifically focused on gaming and cognitive health, and included presentations by researchers from Massachusetts Institute of Technology, as well as Warner Bros. Interactive Entertainment.

Topics ranged from the use of gaming to change behavior to helping neurodegenerative disease patients improve balance.

“Ten years ago, researchers wouldn’t have thought this could happen,” said Alvaro Fernandez, CEO and co-founder of Sharp Brains, a San Francisco market research firm that specializes in cognitive science, and that organized the conference. “Now we’re seeing that brain games may be able to help with attention, memory and the ability to regulate stress,” Fernandez said.

Alvaro says products come in many formats: CD-ROMs, iPhone applications, handheld devices, while others, like Wii, are adapted for big screens. One birdwatching game, for example, by Luminosity, aims at improving attention and the ability to process visual information.

Medical experts say there is a lot of pilot research looking at how gaming can help patients with an array of illnesses, but more research is needed to understand what kind of games and how much time spent with them will make a difference, says David Rabiner, director of undergraduate studies in the Department of Psychology and Neuroscience at Duke University.

Another hurdle is that gaming and medicine are such disparate fields, says Murali Doraiswamy, chief of Biological Psychiatry at Duke University Medical Center, who gave a talk at last week’s conference, encouraging attendees to form a consensus group made up of leaders from many sectors to bring gaming for health to the next level.

“We’re on the cusp of something big. What it needs to galvanize is discussion between academia, government agencies, gaming companies and insurance companies,” Doraiswamy says.

“There are two streams of thought right now: Do you take something healthy and try to make it fun or something fun and try to make it healthy?” he says.