A. Schnider et al., Selection of currently relevant memories by the human posterior medial orbitofrontal cortex, J NEUROSC, 20(15), 2000, pp. 5880-5884
We have demonstrated previously that patients producing spontaneous confabu
lations fail to suppress currently irrelevant memory traces, so that they a
ct and think on the basis of a false, temporally displaced (past) reality.
All spontaneous confabulators had anterior limbic damage, in particular of
the orbitofrontal cortex and basal forebrain. These findings indicated that
these structures are essential for distinguishing between mental represent
ations of ongoing reality and currently irrelevant memories. In the present
study, we used a similar experimental paradigm as in our clinical studies
and (H2O)-O-15 positron emission tomography to explore the selection of cur
rently relevant memories by the healthy human brain. Subjects were repeated
ly presented with the same set of pictures, arranged in different order eac
h time, and were requested to indicate picture recurrences within the runs.
Thus, performance in the first run depended on new learning, whereas subse
quent runs required the distinction between picture repetitions within the
current run ("now") and previous picture presentations in earlier runs. Whe
reas initial learning activated medial temporal structures, subsequent runs
provoked circumscribed posterior medial orbitofrontal activation. We sugge
st that this area is essential for sorting out mental associations that per
tain to ongoing reality.