What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature

AimDissociative amnesia is an emblematic psychiatric condition in which patients experience massive memory loss ranging from focal to global amnesia. This condition remains poorly understood and this review aims to investigate the neuroanatomical feature of this disease.MethodsWe conducted a systema...

Full description

Bibliographic Details
Main Authors: Simon Taïb, Antoine Yrondi, Béatrice Lemesle, Patrice Péran, Jérémie Pariente
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092826/full
_version_ 1828053889891434496
author Simon Taïb
Simon Taïb
Antoine Yrondi
Antoine Yrondi
Béatrice Lemesle
Patrice Péran
Jérémie Pariente
Jérémie Pariente
author_facet Simon Taïb
Simon Taïb
Antoine Yrondi
Antoine Yrondi
Béatrice Lemesle
Patrice Péran
Jérémie Pariente
Jérémie Pariente
author_sort Simon Taïb
collection DOAJ
description AimDissociative amnesia is an emblematic psychiatric condition in which patients experience massive memory loss ranging from focal to global amnesia. This condition remains poorly understood and this review aims to investigate the neuroanatomical feature of this disease.MethodsWe conducted a systematic review of the scientific literature available on PubMed, up to December 1, 2022, using a combination of keywords referring to dissociative amnesia. We included every scientific report involving patients undergoing a functional imaging procedure.ResultsTwenty-two studies met our inclusion criteria (gathering 49 patients). Only one was a controlled study with a large sample. The other 21 were case reports and case series. In resting state, neuroimaging studies mostly showed a hypo-activated right inferolateral prefrontal cortex, associated with limbic hypoactivity and lesser activation of the hippocampal and para-hippocampal structures. The patients also presented abnormal patterns of cerebral activation when performing memory tasks. When testing recognition of memories from the amnestic period, patients showed increased activation across temporal areas (hippocampal and para-hippocampal gyri) and the limbic network. When trying to recollect memories from an amnestic period compared to a non-amnestic period, patients failed to activate these structures efficiently. Most of these patterns tended to return to normal when symptoms resolved.ConclusionThis review identified a paucity of controlled studies in the field of dissociative amnesia neuroimaging, which restricts the extrapolation of results. Patients with dissociative amnesia present a broad prefronto-temporo-limbic network dysfunction. Some of the brain areas implicated in this network might represent potential targets for innovative treatments.
first_indexed 2024-04-10T20:14:23Z
format Article
id doaj.art-53a1df0ba9974b79b440d08ab6b42e70
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-10T20:14:23Z
publishDate 2023-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-53a1df0ba9974b79b440d08ab6b42e702023-01-26T07:43:44ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-01-011410.3389/fpsyt.2023.10928261092826What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literatureSimon Taïb0Simon Taïb1Antoine Yrondi2Antoine Yrondi3Béatrice Lemesle4Patrice Péran5Jérémie Pariente6Jérémie Pariente7INSERM U1214 Centre d’Imagerie Neuro Toulouse (ToNIC), Toulouse, FranceService de Psychiatrie, Psychothérapie et Art-Thérapie, Centre Expert du Stress Traumatique, CHU de Toulouse, Toulouse, FranceINSERM U1214 Centre d’Imagerie Neuro Toulouse (ToNIC), Toulouse, FranceService Universitaire de Psychiatrie et Psychologie Médicale, CHU de Toulouse, Toulouse, FrancePôle Neurosciences, CHU de Toulouse, Toulouse, FranceINSERM U1214 Centre d’Imagerie Neuro Toulouse (ToNIC), Toulouse, FranceINSERM U1214 Centre d’Imagerie Neuro Toulouse (ToNIC), Toulouse, FrancePôle Neurosciences, CHU de Toulouse, Toulouse, FranceAimDissociative amnesia is an emblematic psychiatric condition in which patients experience massive memory loss ranging from focal to global amnesia. This condition remains poorly understood and this review aims to investigate the neuroanatomical feature of this disease.MethodsWe conducted a systematic review of the scientific literature available on PubMed, up to December 1, 2022, using a combination of keywords referring to dissociative amnesia. We included every scientific report involving patients undergoing a functional imaging procedure.ResultsTwenty-two studies met our inclusion criteria (gathering 49 patients). Only one was a controlled study with a large sample. The other 21 were case reports and case series. In resting state, neuroimaging studies mostly showed a hypo-activated right inferolateral prefrontal cortex, associated with limbic hypoactivity and lesser activation of the hippocampal and para-hippocampal structures. The patients also presented abnormal patterns of cerebral activation when performing memory tasks. When testing recognition of memories from the amnestic period, patients showed increased activation across temporal areas (hippocampal and para-hippocampal gyri) and the limbic network. When trying to recollect memories from an amnestic period compared to a non-amnestic period, patients failed to activate these structures efficiently. Most of these patterns tended to return to normal when symptoms resolved.ConclusionThis review identified a paucity of controlled studies in the field of dissociative amnesia neuroimaging, which restricts the extrapolation of results. Patients with dissociative amnesia present a broad prefronto-temporo-limbic network dysfunction. Some of the brain areas implicated in this network might represent potential targets for innovative treatments.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092826/fullcognitive disordermemory losshysteriadissociative disorderstresstrauma
spellingShingle Simon Taïb
Simon Taïb
Antoine Yrondi
Antoine Yrondi
Béatrice Lemesle
Patrice Péran
Jérémie Pariente
Jérémie Pariente
What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
Frontiers in Psychiatry
cognitive disorder
memory loss
hysteria
dissociative disorder
stress
trauma
title What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
title_full What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
title_fullStr What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
title_full_unstemmed What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
title_short What are the neural correlates of dissociative amnesia? A systematic review of the functional neuroimaging literature
title_sort what are the neural correlates of dissociative amnesia a systematic review of the functional neuroimaging literature
topic cognitive disorder
memory loss
hysteria
dissociative disorder
stress
trauma
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1092826/full
work_keys_str_mv AT simontaib whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT simontaib whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT antoineyrondi whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT antoineyrondi whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT beatricelemesle whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT patriceperan whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT jeremiepariente whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature
AT jeremiepariente whataretheneuralcorrelatesofdissociativeamnesiaasystematicreviewofthefunctionalneuroimagingliterature