Temporal lobe

Medial temporal lobe

The medial temporal lobe consists of structures that are vital for declarative or long-term memory. Declarative (denotative) or explicit memory is conscious memory divided into semantic memory (facts) and episodic memory (events). Medial temporal lobe structures that are critical for long-term memory include the hippocampus, along with the surrounding hippocampal region consisting of the perirhinal, parahippocampal, and entorhinal neocortical regions. The hippocampus is critical for memory formation, and the surrounding medial temporal cortex is currently theorized to be critical for memory storage. The prefrontal and visual cortices are also involved in explicit memory.

Research has shown that lesions in the hippocampus of monkeys results in limited impairment of function, whereas extensive lesions that include the hippocampus and the medial temporal cortex result in severe impairment.

Visual memories

The temporal lobe communicates with the hippocampus and plays a key role in the formation of explicit long-term memory modulated by the amygdala.

Processing sensory input

Auditory

Adjacent areas in the superior, posterior, and lateral parts of the temporal lobes are involved in high-level auditory processing. The temporal lobe is involved in primary auditory perception, such as hearing, and holds the primary auditory cortex. The primary auditory cortex receives sensory information from the ears and secondary areas process the information into meaningful units such as speech and words. The superior temporal gyrus includes an area (within the lateral fissure) where auditory signals from the cochlea first reach the cerebral cortex and are processed by the primary auditory cortex in the left temporal lobe.

Visual

The areas associated with vision in the temporal lobe interpret the meaning of visual stimuli and establish object recognition. The ventral part of the temporal cortices appear to be involved in high-level visual processing of complex stimuli such as faces (fusiform gyrus) and scenes (parahippocampal gyrus). Anterior parts of this ventral stream for visual processing are involved in object perception and recognition.

Language recognition

The temporal lobe holds the primary auditory cortex, which is important for the processing of semantics in both speech and vision in humans. Wernicke's area, which spans the region between temporal and parietal lobes, plays a key role (in tandem with Broca's area in the frontal lobe) in speech comprehension. The functions of the left temporal lobe are not limited to low-level perception but extend to comprehension, naming, and verbal memory.

New memories

The medial temporal lobes (near the sagittal plane) are thought to be involved in encoding declarative long term memory. The medial temporal lobes include the hippocampi, which are essential for memory storage, therefore damage to this area can result in impairment in new memory formation leading to permanent or temporary anterograde amnesia.

Unilateral temporal lesion

Contralateral homonymous upper quadrantanopia (sector anopsia)

Complex hallucinations (smell, sound, vision, memory)

Dominant hemisphere

Receptive aphasia

Wernicke's aphasia

Anomic aphasia

Dyslexia

Impaired verbal memory

Word agnosia, word deafness

Non-dominant hemisphere

Impaired non-verbal memory

Impaired musical skills

Bitemporal lesions (additional features)

Deafness

Apathy (affective indifference)

Impaired learning and memory

Amnesia, Korsakoff syndrome, Klüver–Bucy syndrome

Damage

Individuals who suffer from medial temporal lobe damage have a difficult time recalling visual stimuli. This neurotransmission deficit is due, not to lacking perception of visual stimuli but, to lacking perception of interpretation. The most common symptom of inferior temporal lobe damage is visual agnosia, which involves impairment in the identification of familiar objects. Another less common type of inferior temporal lobe damage is prosopagnosia which is an impairment in the recognition of faces and distinction of unique individual facial features.

Damage specifically to the anterior portion of the left temporal lobe can cause savant syndrome.

Disorders

Pick's disease, also known as frontotemporal amnesia, is caused by atrophy of the frontotemporal lobe. Emotional symptoms include mood changes, which the patient may be unaware of, including poor attention span and aggressive behavior towards themselves and/or others. Language symptoms include loss of speech, inability to read and/or write, loss of vocabulary and overall degeneration of motor ability.

Temporal lobe epilepsy is a chronic neurological condition characterized by recurrent seizures; symptoms include a variety of sensory (visual, auditory, olfactory, and gustation) hallucinations, as well as an inability to process semantic and episodic memories.