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Updated: Jun 17, 2026

Examining Recall Memory in Infancy and Early Childhood Using the Elicited Imitation Paradigm
Published on: April 28, 2016
[Developmental amnesia in the premature infant]
V Mouron1, S Hays, S Gonzalez-Monge
1Service de néonatologie, hôpital de la Croix-Rousse, hospices civils de Lyon, 69317 Lyon cedex 04, France. virginie.mouron@chu-lyon.fr
Abstract:
All types of memory disorders have been observed in children, although these reports are rare. Developmental amnesia selectively involves episodic daily life memory while semantic learning is respected and general intelligence is not affected. Daily life is severely disturbed by this cognitive disorder usually occurring after hypoxic ischemic injury with bilateral hippocampal atrophy on MRI. Memory disorders are underdiagnosed in at-risk patients and rarely reported. We report on a former small-for-gestational-age preterm infant with no obvious hypoxic event during perinatal life. The follow-up was normal until elementary school. He had to spend 2 years in 1st grade and exhibited some behavioral troubles. At the age of 9, he was suspected of suffering from dyspraxia and was referred to a pediatrics rehabilitation center. IQ and neuropsychological tests were administered and showed selective autobiographical memory impairment defining developmental amnesia. Despite a typical clinical presentation, brain MRI was normal, including the hippocampal area. This observation underlines the need for a prolonged follow-up until school age to assess the outcome of preterm infants. Otherwise, the evaluation will be limited to motor impairment. Particular attention should be paid to memory during the follow-up to avoid misdiagnoses and to plan and adapt these children's educational strategies.
Insights
Developmental amnesia, a rare memory disorder, impairs daily life recall but spares general intelligence. This case highlights the need for vigilant memory assessment in preterm infants, even with normal MRIs.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Cognitive Psychology
Background:
- Developmental amnesia is a rare memory disorder affecting episodic memory while preserving semantic memory and general intelligence.
- It typically results from hypoxic ischemic injury causing hippocampal atrophy, significantly disrupting daily life.
- Memory disorders in children are often underdiagnosed and underreported.
Observation:
- A preterm infant, small for gestational age, showed normal development until elementary school.
- The child experienced academic difficulties, repeating first grade and exhibiting behavioral issues.
- At age 9, referred for suspected dyspraxia, neuropsychological testing revealed selective autobiographical memory impairment.
Findings:
- The case presented a typical clinical picture of developmental amnesia.
- Crucially, brain MRI, including the hippocampus, was normal, challenging typical diagnostic markers.
- This underscores the potential for developmental amnesia in preterm infants without clear hypoxic events.
Implications:
- Prolonged follow-up of preterm infants is essential until school age to detect cognitive deficits like memory impairment.
- Normal MRI findings do not exclude developmental amnesia, necessitating comprehensive neuropsychological evaluation.
- Early identification and tailored educational strategies are vital for children with selective memory deficits.
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