Mnestic block syndrome

Cortex. 1999 Apr;35(2):219-30. doi: 10.1016/s0010-9452(08)70795-0.

Abstract

The case of a patient with largely preserved intelligence, but severe and persistent memory impairments is reported. FA, a 46-year-old patient with the diagnosis of prolonged depression was investigated repeatedly over a two year period with neuroradiological, neuropsychological, neuromonitoring and other methods. While no brain damage was detectable in FA, he manifested continued and severe anterograde and retrograde memory disorders together with an inhibition in his thinking processes. Otherwise, his intellectual capabilities were in the normal range, that is he was not pseudo-demented. Various approaches with drug treatment and psychotherapy failed to improve his condition. The condition is interpreted as 'mnestic block syndrome' and is considered to be related to an altered brain metabolism which may include changes in various transmitter and hormonal systems (GABA-agonists, glucocorticoids, acetylcholine). Whether depression contributes to this syndrome is uncertain from FA's cognitive performance, but may be a possibility.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amnesia, Retrograde / psychology
  • Depressive Disorder / diagnostic imaging
  • Depressive Disorder / pathology
  • Depressive Disorder / psychology*
  • Electroencephalography
  • Humans
  • Intelligence / physiology
  • MMPI
  • Magnetic Resonance Imaging
  • Male
  • Memory Disorders / diagnostic imaging
  • Memory Disorders / pathology
  • Memory Disorders / psychology*
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Syndrome
  • Tomography, Emission-Computed
  • Tomography, Emission-Computed, Single-Photon