Dement Neurocogn Disord.  2012 Dec;11(4):154-157. 10.12779/dnd.2012.11.4.154.

A Case of Transient Memory Impairment after Acute Left Focal Lateral Putamen ICH with Old Caudate Nucleus Infarction

Affiliations
  • 1Department of Neurology, Korea University College of Medicine, Seoul, Korea. kunu@korea.ac.kr

Abstract

Transient memory impairment can be occurred by many causes. One of them is acute focal brain lesion in strategic site. Caudate nucleus and medial basal ganglia (globus pallidus) are lesion of strategic site. They play its role in cognitive processing. But lateral basal ganglia (putamen) is known as a structure involving movement, not cognitive function. We report a interesting case of transient memory dysfunction with acute focal putamen ICH with old caudate nucleus infarction.

Keyword

Vascular cognitive impairment; Putamen; Intracranial hemorrhage

MeSH Terms

Basal Ganglia
Brain
Caudate Nucleus
Infarction
Intracranial Hemorrhages
Memory
Putamen

Figure

  • Fig. 1 Axial T2-weighted MRI FLAIR (A) gradient echo (B) Brain CT, non-enhanced(C) MR angiography (D). MRI and CT show old left caudate nucleus infarction lesion(arrow), GRE and CT show acute focal lateral basal ganglia ICH(circle).

  • Fig. 2 Schematic illustration of the paralimbic circuit. GPi, globus pallidus internus; GPe, globus pallidus externus; SNR, substantia nigra pars reticulata; SNC, subtantia nigra pars compacta.

  • Fig. 3 Schematic illustration of the limbic circuit.


Reference

1. Di Cesare F, D'Ilario D, Fioravanti M. Differential characteristics of the aging process and the vascular cognitive impairment in the organization of memory retrieval. J Neurol Sci. 2012. 322:148–151.
2. Wentzel C, Rockwood K, MacKnight C, Hachinski V, Hogan DB, Feldman H, et al. Progression of impairment in patients with vascular cognitive impairment without dementia. Neurology. 2001. 57:714–716.
3. O'Brien J, Ames D, Burns AS. Dementia. 2005. 3rd ed. London: Hodder Arnold.
4. Kim SH, Park KH, Sung YH, Lee YB, Park HM, Shin DJ. Dementia mimicking a sudden cognitive and behavioral change induced by left globus pallidus infarction: review of two cases. J Neurol Sci. 2008. 272:178–182.
5. Takara S, Hatanaka N, Takada M, Nambu A. Differential activity patterns of putaminal neurons with inputs from the primary motor cortex and supplementary motor area in behaving monkeys. J Neurophysiol. 2011. 106:1203–1217.
Article
6. Benke T, Delazer M, Bartha L, Auer A. Basal ganglia lesions and the theory of fronto-subcortical loops: neuropsychological findings in two patients with left caudate lesions. Neurocase. 2003. 9:70–85.
Article
7. Ko MH, Kim YH, Seo JH. Clinical and neuropsychological characteristics of patients with stroke of the basal ganglia. J Korean Acad Rehabil Med. 1997. 21:652–657.
Article
8. Papez JW. A proposed mechanism of emotion. 1937. J Neuropsychiatry Clin Neurosci. 1995. 7:103–112.
Article
9. Mishkin M. A memory system in the monkey. Philos Trans R Soc Lond B Biol Sci. 1982. 298:83–95.
10. Tekin S, Cummings JL. Frontal-subcortical neuronal circuits and clinical neuropsychiatry: an update. J Psychosom Res. 2002. 53:647–654.
11. Rolls ET. Neurophysiology and cognitive functions of the striatum. Rev Neurol (Paris). 1994. 150:648–660.
Article
12. Temel Y, Blokland A, Steinbusch HW, Visser-Vandewalle V. The functional role of the subthalamic nucleus in cognitive and limbic circuits. Prog Neurobiol. 2005. 76:393–413.
Article
13. Choi JC. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy: a genetic cause of cerebral small vessel disease. J Clin Neurol . 2010. 6:1–9.
Article
14. O'Brien JT, Wiseman R, Burton EJ, Barber B, Wesnes K, Saxby B, et al. Cognitive associations of subcortical white matter lesions in older people. Ann N Y Acad Sci. 2002. 977:436–444.
Article
15. Cousins DA, Burton EJ, Burn D, Gholkar A, McKeith IG, O'Brien JT. Atrophy of the putamen in dementia with Lewy bodies but not Alzheimer's disease: an MRI study. Neurology. 2003. 61:1191–1195.
Article
16. Monchi O, Petrides M, Petre V, Worsley K, Dagher A. Wisconsin Card Sorting revisited: distinct neural circuits participating in different stages of the task identified by event-related functional magnetic resonance imaging. J Neurosci. 2001. 21:7733–7741.
Article
17. Ashby FG, Noble S, Filoteo JV, Waldron EM, Ell SW. Category learning deficits in Parkinson's disease. Neuropsychology. 2003. 17:115–124.
Article
18. Bartsch T, Deuschl G. Transient global amnesia: functional anatomy and clinical implications. Lancet Neurol. 2010. 9:205–214.
Article
Full Text Links
  • DND
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr