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Updated: Feb 4, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Pilot investigation of the relationship between hippocampal volume and pattern separation deficits in multiple
Mark D Zuppichini1, Joshua Sandry2
1School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Abstract:
Memory impairment and hippocampal atrophy are common in multiple sclerosis (MS). In the present pilot study, we investigate whether the mnemonic process of pattern separation is impaired and a predictor of hippocampal volume in relapsing remitting MS. MS participants and healthy controls completed the Mnemonic Similarities Task (MST) along with traditional neurocognitive assessments of memory. 3T structural magnetic resonance imaging was used to estimate whole hippocampal volumes (main aim) and hippocampal subfield volumes (exploratory aim). Results revealed that pattern separation performance was worse for MS participants compared to healthy controls (Cohen's d = 0.96). For MS participants, hippocampal volume was more strongly related to pattern separation performance (r = 0.83) than a traditional neurocognitive measure of visual memory (r = 0.65); hippocampal volume was not related to a traditional neurocognitive measure of verbal memory in this sample. No brain-behavior correlations were significant in the healthy control group. Results of the exploratory analysis revealed relationships between pattern separation performance and subiculum, molecular layer, and CA1 hippocampal subfield volumes for MS participants only. Pattern separation assessed using the MST may be a sensitive cognitive-biomarker of memory dysfunction and changes in hippocampal volume in relapsing-remitting MS.
Insights
Pattern separation is impaired in multiple sclerosis (MS), impacting memory. This cognitive function predicts hippocampal volume loss in MS patients, suggesting its potential as a biomarker.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Memory impairment and hippocampal atrophy are prevalent in multiple sclerosis (MS).
- The mnemonic process of pattern separation is crucial for memory formation and recall.
- Understanding cognitive deficits in MS is vital for developing effective interventions.
Purpose of the Study:
- To investigate pattern separation deficits in relapsing-remitting MS (RRMS).
- To determine if pattern separation performance predicts hippocampal volume in RRMS.
- To explore relationships between pattern separation and specific hippocampal subfields.
Main Methods:
- Participants with RRMS and healthy controls completed the Mnemonic Similarities Task (MST) and traditional memory assessments.
- Structural magnetic resonance imaging (3T MRI) was used to measure whole hippocampal and subfield volumes.
- Statistical analyses examined group differences and correlations between cognitive performance and brain structure.
Main Results:
- MS participants demonstrated significantly worse pattern separation performance than healthy controls (Cohen's d = 0.96).
- In MS patients, hippocampal volume strongly correlated with pattern separation (r = 0.83) but not verbal memory (r = 0.19).
- Exploratory analyses revealed associations between pattern separation and subiculum, molecular layer, and CA1 subfield volumes in MS.
Conclusions:
- Pattern separation is impaired in individuals with RRMS.
- MST performance serves as a sensitive cognitive biomarker for memory dysfunction in MS.
- Pattern separation performance is a significant predictor of hippocampal volume in RRMS, highlighting its clinical relevance.
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