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J Neuropsychiatry Clin Neurosci 14:6-10, February 2002
© 2002 American Psychiatric Press, Inc.


Special Article

Déjà Vu: Possible Parahippocampal Mechanisms

Josef Spatt, M.D.

Received November 17, 2000; revised February 10, 2001; accepted February 21, 2001. From Ludwig Boltzmann Institute for Epilepsy and Neuromuscular Disorders, Rosenhügel Neurological Hospital, Vienna, Austria. Address correspondence to Dr. Spatt, II. Neurologische Abteilung, Neurologisches Krankenhaus Rosenhügel, Riedelgasse 5, 1130 Vienna, Austria. E-mail: josef.spatt{at}chello.at

Déjà vu experiences are common in normal subjects. In addition, they are established symptoms of temporal lobe seizures. The author argues that the phenomenon is the result of faulty and isolated activity of a recognition memory system that consists of the parahippocampal gyrus and its neocortical connections. This memory system is responsible for judgments of familiarity. The result is that a momentary perceived scene is given the characteristics of familiarity that normally accompany a conscious recollection. The normal functioning of other brain structures involved in memory retrieval—the prefrontal cortex and the hippocampus proper—leads to the perplexing phenomenological quality of déjà vu. The hypothesis accounts for many characteristics of déjà vu in healthy subjects and is well fitting with experimental findings in patients with epilepsy.

Key Words: Memory • Déjà Vu • Parahippocampal Cortex




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