4 ms·
"The surgeon claimed that the destruction was precise, but the autopsy actually determined that damage was much more widespread than expected." This is flat wr
by dewarrn1 12y ago
"The surgeon claimed that the destruction was precise, but the autopsy actually determined that damage was much more widespread than expected."
This is flat wrong. Based on structural neuroimaging evidence, Corkin et al. (1997) showed that HM's resection was less extensive than Scoville's notes suggested, not more extensive. The more recent post-mortem analysis of HM's brain (Annese et al., 2014) concurs, and in fact gives an even more conservative estimate of the resection.
As a researcher who studies memory and works with severely amnesic patients, I think that it's important to point out that the precision of HM's lesion was unique in our field because every other bilateral hippocampal amnesic patient has a naturally-occurring lesion. Etiologies vary (herpes simplex encephalitis, anoxia, and, historically, Korsakoff's), but common to each etiology is the potential for widespread damage beyond the hippocampus and medial temporal lobe (MTL). Given that HM's surgery predated sophisticated neuroimaging methods, his case provided researchers of the era the very best possibility of isolating the cognitive processes that depended on the MTL. There have been many methodological and theoretical improvements over the intervening decades, but the work that Brenda Milner, Sue Corkin, and many others carried out with HM was seminal for the field.
Annese, J., Schenker-Ahmed, N. M., Bartsch, H., Maechler, P., Sheh, C., Thomas, N., … Corkin, S. (2014). Postmortem examination of patient H.M.’s brain based on histological sectioning and digital 3D reconstruction. Nature Communications, 5, 3122. doi:10.1038/ncomms4122
Corkin, S., Amaral, D. G., Gonzalez, R. G., Johnson, K. A., & Hyman, B. T. (1997). H.M.’s medial temporal lobe lesion: findings from magnetic resonance imaging. J. Neurosci., 17, 3964–3979.
- joveian 12y agoThanks for the excellent references; I obviously should have checked my facts before posting. The quote I quoted also makes sense in the context you mention of being in contrast to naturally occurring lesions, which looking again seems clear enough from the story. I think part of what I was thinking of was from this previous wired article on the study you mention: http://www.wired.com/2014/01/hm-brain-closeup http://www.wired.com/2014/01/hm-brain-closeup Particularly Suzane Corkin's quote about shifting the emphasis from the hippocampus to the entorhinal cortex. The wider damage I was misremembering the extent and cause of looks like it was the combination of the left orbitofrontal legion (possibly but not necessarily connected to the accident or surgery) and the cerebellar atrophy (attributed to anticonvulsant medication). The most recent paper suggest that the cerebellar atrophy was likely to do lifelong medication, but I'm not sure if the higher does of whatever medication he took prior to sugery could have caused that as well. In any case, little if any of the additional damage was likely related to the sugery so as you say that point I made is wrong. Apologies to all for the misinformation and thanks for the correction and references. Edit: Also, I suspect I was partly thinking of this article as well and others along these lines (rather than what I actually said): http://hargreaves.swong.webfactional.com/HM.htm http://hargreaves.swong.webfactional.com/HM.htm