One of the signature discoveries of cognitive neuroscience is that a structure called the hippocampus, deep within the brain, is intimately involved in creating memories. This fact was dramatically illustrated by a singular patient, Henry Molaison, who experienced severe epileptic seizures. In 1953, when Molaison was 27, doctors removed his hippocampus and nearby areas on both sides of his brain. The operation controlled his epilepsy, but at a price—from that time on, he was unable to remember the things that happened to him. He could learn skills, such as mirror writing, but would be puzzled by his expertise, because he could not recall having acquired it.
H.M., as he was known during his lifetime to protect his privacy, taught scientists three lessons. First, certain brain structures—the hippocampus and the amygdala, the brain’s emotion center—specialize in remembering. Second, there are different kinds of memory—the ability to recall facts, or personal experiences, or physical skills like riding a bike—each with its own properties. Third, memory is distinct from the brain’s intellectual and perceptual abilities.
Fifty years later these conclusions have been strengthened by laboratory studies on mice, rats and monkeys and by further clinical observation. A case in point is transient global amnesia, a rare but enigmatic loss of memory that is sometimes triggered by a stressful event. The patient suddenly cannot recall facts or experiences—anything that is not deeply encoded, such as his name. He also becomes unable to form new memories. There is no impairment in motor or sensory function, judgment, intellectual faculties or consciousness. As the name suggests, transient global amnesia is temporary, disappearing within 24 hours with little long-term effect. But within a day or two of the attack, high-resolution imaging reveals small areas of damage in a specific part of the hippocampus.
Having established the critical role of the hippocampus, the next question is: What makes something memorable? Of the countless things a person encounters in a given day, why do some become indelibly imprinted, whereas others vanish like soap bubbles? Scientists know that many factors play a role in determining what people remember, among them how much attention the person is paying, how novel and interesting the experience is, and the kinds of emotions that are evoked. But recently a team led by neuroscientist Ueli Rutishauser of the Howard Hughes Medical Institute at the California Institute of Technology delved into the cellular workings of the hippocampus, chronicling the activity of individual brain cells as people absorbed and recalled new information. Their findings, though delivered in the technical language of action potentials and electrical frequencies, provide intriguing insights into the Proustian mystery of memory.
Electrodes Thinner Than a Hair
Epilepsy treatments, though less invasive than in H.M.’s day, continue to offer unique opportunities for neuroscientific insight. To pinpoint where seizures originate, doctors sometimes implant electrodes thinner than a hair in the affected brain areas. Then for a few days they eavesdrop on the electrical activity that takes place while the patient talks, watches television, moves around and sleeps in the hospital ward.
Rutishauser and his colleagues piggybacked their memory experiment on this medical protocol. They asked nine epileptics who were undergoing electrode monitoring to view 100 slides, each of which showed an image of a person, an animal, or an everyday object such as a car or a tool. The patients had one second to commit each picture to memory as best they could before the next one appeared. The team later tested the patients’ recall by showing them a second set of 100 photographs, half of which were novel and half of which were repeats from the initial slide show, and asking them to identify which ones they had already seen. During the two slide shows, the team used the implanted microelectrodes to track electrical activity in the hippocampus and the amygdala.