Disorders have been important for the understanding of memory systems. The memory abilities and inhibitions of patients with various diseases played a major role in establishing the distinction that long-term memory consists of different types of memory, more specifically declarative memory and procedural memory. Furthermore, they have been important for illuminating the structures of the brain that comprise the neural network of procedural memory.
Alzheimer's disease and dementia Current Research indicates that procedural memory problems in
Alzheimer's may be caused by changes in enzyme activity in memory-integrating brain regions such as the hippocampus. The specific enzyme linked to these changes is called
acetylcholinesterase (AchE) which may be affected by a genetic predisposition in an immune-system brain receptor called the histamine H1 receptor. The same current scientific information also looks at how
dopamine,
serotonin and
acetylcholine neurotransmitter levels vary in the cerebellum of patients that have this disease. Modern findings advance the idea that the
histamine system may be responsible for the cognitive deficits found in Alzheimer's and for the potential procedural memory problems that may develop as a result of the
psychopathology.
Tourette syndrome This disease of the central nervous system, like many other procedural-memory related disorders, involves changes in the associated subcortical brain area known as the striatum. This area and the brain circuits closely interacting with it from the basal ganglia are affected both structurally and at a more functional level in the people affected by
Tourette's syndrome. Current literature on this topic provides evidence for there being many unique forms of procedural memory. The one most relevant to procedural memory and most common in Tourette's is related to the skill-acquisition process that ties stimuli to response during the learning part of procedural memory. One study has found that those with Tourette syndrome have enhanced procedural learning. Subjects with Tourette's syndrome were found to have more quickly processed procedural knowledge and more accurately learned procedural skills than their typically developed counterparts. Another study found that subjects with Tourette's syndrome displayed faster processing of rule-based grammar than typically developed subjects. Two possible explanations exist for these results. One explanation is that once a person with Tourette's syndrome has learned a procedure, there is a mechanism that supports more accelerated processing. Second, because procedural memory subserves sequencing, and grammar recruits sequencing, an enhancement of grammatical processing was seen in those with Tourette's syndrome due to their improved procedural memories.
Human immunodeficiency virus (HIV) Neural systems used by procedural memory are commonly targeted by
Human Immunodeficiency Virus; the striatum being the structure most notably affected. MRI studies have even shown white matter irregularity and basal ganglia subcortical atrophy in these vital areas necessary for both procedural memory and motor-skill. Applied research using various procedural memory tasks such as the Rotary pursuit, Mirror star tracing and Weather prediction tasks have shown that HIV positive individuals perform worse than HIV negative participants suggesting that poorer overall performance on tasks is due to the specific changes in the brain caused by the disease.
Huntington's disease Despite
Huntington's disease being a disorder that directly affects striatal areas of the brain used in procedural memory, most individuals with the condition display different memory problems from people with striatum related brain diseases. In more advanced stages of the disease, however, procedural memory is affected by damage to the important brain pathways that help the inner subcortical and prefrontal cortex parts of the brain to communicate.
Obsessive compulsive disorder Neuroimaging studies show that
OCD patients perform considerably better on procedural memory tasks because of noticeable over-activation of the striatum brain structures, specifically the frontostriatal circuit. These studies suggest that procedural memory in OCD patients is unusually improved in the early learning stages of procedural memory. However, another study found that individuals with OCD do not perform significantly different on procedural working memory tasks than healthy controls. Parkinson's patients often have difficulty with the sequence-specific knowledge that is needed in the acquisition step of procedural memory. Further evidence suggests that the frontal lobe networks relate to executive function and only act when specific tasks are presented to the patient. This tells us that the frontostriatal circuits are independent but able to work collaboratively with other areas of the brain to help with various things such as paying attention or focusing.
Schizophrenia MRI studies have shown that
schizophrenic patients not currently taking related medication have a smaller
putamen, part of the striatum that plays a very important role in procedural memory. Further studies on the brain reveal that schizophrenics have improper basal ganglia communication with the surrounding extrapyramidal system that is known to be closely involved with the motor system and in the coordination of movement. The most recent belief is that functional problems in the striatum of schizophrenic patients are not significant enough to seriously impair procedural learning, however, research shows that the impairment will be significant enough to cause problems improving performance on a task between practice intervals. ==Drugs==