The Journal of Neuroscience, August 1, 2000, 20(15):5880-5884
Selection of Currently Relevant Memories by the Human Posterior
Medial Orbitofrontal Cortex
Armin
Schnider1,
Valerie
Treyer2, and
Alfred
Buck2
1 Clinique de Rééducation, University
Hospital, CH-1211 Geneva 14, Switzerland, and 2 PET
Center, Division of Nuclear Medicine, University Hospital, CH-8091
Zürich, Switzerland
We have demonstrated previously that patients producing spontaneous
confabulations fail to suppress currently irrelevant memory traces, so
that they act and think on the basis of a false, temporally displaced
(past) reality. All spontaneous confabulators had anterior limbic
damage, in particular of the orbitofrontal cortex and basal forebrain.
These findings indicated that these structures are essential for
distinguishing between mental representations of ongoing reality and
currently irrelevant memories. In the present study, we used a similar
experimental paradigm as in our clinical studies and
H215O positron emission tomography to
explore the selection of currently relevant memories by the healthy
human brain. Subjects were repeatedly presented with the same set of
pictures, arranged in different order each time, and were requested to
indicate picture recurrences within the runs. Thus, performance in the
first run depended on new learning, whereas subsequent runs required
the distinction between picture repetitions within the current run
("now") and previous picture presentations in earlier runs. Whereas
initial learning activated medial temporal structures, subsequent runs provoked circumscribed posterior medial orbitofrontal activation. We
suggest that this area is essential for sorting out mental associations
that pertain to ongoing reality.
Key words:
human memory; spontaneous confabulation; anterior limbic
system; reality monitoring; orbitofrontal cortex; parahippocampal
gyrus; medial temporal lobe; functional imaging; PET
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