A human memory circuit derived from brain lesions causing amnesia

Nat Commun. 2019 Aug 2;10(1):3497. doi: 10.1038/s41467-019-11353-z.

Abstract

Human memory is thought to depend on a circuit of connected brain regions, but this hypothesis has not been directly tested. We derive a human memory circuit using 53 case reports of strokes causing amnesia and a map of the human connectome (n = 1000). This circuit is reproducible across discovery (n = 27) and replication (n = 26) cohorts and specific to lesions causing amnesia. Its hub is at the junction of the presubiculum and retrosplenial cortex. Connectivity with this single location defines a human brain circuit that incorporates > 95% of lesions causing amnesia. Lesion intersection with this circuit predicts memory scores in two independent datasets (N1 = 97, N2 = 176). This network aligns with neuroimaging correlates of episodic memory, abnormalities in Alzheimer's disease, and brain stimulation sites reported to enhance memory in humans.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Alzheimer Disease / complications
  • Alzheimer Disease / diagnostic imaging
  • Alzheimer Disease / pathology
  • Amnesia / diagnostic imaging
  • Amnesia / etiology
  • Amnesia / pathology*
  • Brain / diagnostic imaging
  • Brain / pathology*
  • Connectome*
  • Datasets as Topic
  • Female
  • Humans
  • Male
  • Memory / physiology*
  • Middle Aged
  • Nerve Net / pathology*
  • Stroke / complications
  • Stroke / diagnostic imaging
  • Stroke / pathology