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Making Memories Stick
In the movie thriller Memento, the principal character, Leonard, can remember everything that happened before his head injury on the night his wife was attacked, but anyone he meets or anything he has done since that fateful night simply vanishes. He has lost the ability to convert short-term memory into long-term memory. Leonard is driven to find his wife's killer and avenge her death, but trapped permanently in the present, he must resort to tattooing the clues of his investigation all over his body.
That disturbing story was inspired by the real case history of a patient known in the medical literature only as "HM." When HM was nine years old, a head injury in a bicycle accident left him with debilitating epilepsy. To relieve his seizures that could not be controlled in any other way, surgeons removed parts of HM's hippocampus and adjoining brain regions. The operation succeeded in reducing the brain seizures but inadvertently severed the mysterious link between short-term and long-term memory. Information destined for what is known as declarative memory--people, places, events--must pass through the hippocampus before being recorded in the cerebral cortex. Thus, memories from long ago that were already stored in HM's brain remained clear, but all his experiences of the present soon faded into nothing. HM saw his doctor on a monthly basis, but at each visit it was as if the two had never met.
This transition from the present mental experience to an enduring memory has long fascinated neuroscientists. A person's name when you are first introduced is stored in short-term memory and may be gone within a few minutes. But some information, like your best friend's name, is converted into long-term memory and can persist a lifetime. The mechanism by which the brain preserves certain moments and allows others to fade has recently become clearer, but first neuroscientists had to resolve a central paradox.
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