03. tbl. 97. árg. 2011

Back to the past. Case report and review on retrograde memory loss

Aftur til fortíðar. Sjúkratilfelli og yfirlit um afturvirkt minnisleysi

Retrograde memory loss where many years disappear suddenly from memory is a known but rare form of memory disturbance among young and old subjects. For those whose brain is affected by a known organic damage such as head trauma the time lost from memory is usually not counted in years, but typically hours or sometimes days or weeks. We review in this article current knowledge on retrograde memory loss as we describe the experience of a 31 year old woman who experienced an unusually long form of retrograde amnesia. She developed the memory loss in the wake of disappointment and a life event. At the time she had major depression. Having described the case and presented the results of neuropsychological testing, we associate her story with the state of knowledge on retrograde memory loss.

Johannsson M, Karlsdottir TA, Sigurdsson E.

Back to the past. Case report and review on retrograde memory loss

Icel Med J 2011; 97: 159-64

Key words: Memory loss, retrograde, neuropsychological testing.

Correspondence: Engilbert Sigurðsson, engilbs@landspitali.is

Table I. Neuropsychological performance in percentiles

Cognitive domain Test Score/max score Percentiles (norms****)
Orientation Questions of Orientation 0 / 113* -

 

 

 

 

 

Verbal memory:

 

Logical memory (WMS-II)

Story A

Immediate

Delayed

Recognition

Story B

Immediate (1)

Immediate (2)

Delayed

Recognition

RAVLT

Immediate

Delayed

Recognition

 

 

18 / 25

14 / 25

15 / 15

 

11 / 25

20 / 25

17 / 25

15 /15

 

57 / 75

13 / 15

15 / 15

 

 

7022

5522

9522

 

4022

7522

6022

9522

 

7023

7023

9523

 

 

Nonverbal memory:

 

Recognition (Faces)

Immediate

Delayed

Rey Complex Figure Test Immediate

Delayed

 

38 / 48

39 / 48

 

26 / 36

27 / 36

 

5022

6022

 

7524

8024

Short-term memory:

 

Digit span (WAIS-RNI)

Forward

 

5 / 9

 

525

Semantic memory

Verbal Fluency23

Animals

 

19 / -***

 

3026

 

 

Executive function:

 

 

Trails B

Time in seconds

Errors

Digit span (WAIS-R NI)

Backwards

Verbal Fluency23

H

F

S

Test of Preservation23

 

90

0

 

5 / 9

 

11 / -***

10 / -***

8  / -***

correct *** 

 

1527

-

 

4025

  

2526

1826

826

-

 

 

 

 

Visuo-spatial and mental speed:

 

Rey Complex Figure Test

Copy

Time in seconds

Trails A

Time in seconds

Errors

Clock Drawing Test23

Numbers

11:10

Line Bisection Test23

Digit Symbol (WAIS-III)

Number of correct symbols

 

36 / 36

240

 

22

0

 

correct**

correct **

correct**

 

63/***

 

7524

8024

 

8027

-

 

-

-

-

 

2028

* Higher score indicates less orientation.

** Only given correct/wrong in this test.

*** Does not apply, highest score differ between individuals.

**** Due to lack of Icelandic norms for neuropsychological tests, foreign norms are used for all the tests, apart from Verbal fluency. Norms and further information for each test can be found in the references and their numbers are given in the table. 




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