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Working memory abilities significantly decrease with advancing age; hence, the search for factors that may increase or mitigate this decline is critical. Several factors have been identified that influence working memory; however, their effects have been mainly assessed separately and rarely together with other factors in the same sample. We examined 120 variables to search for factors that jointly act as mediators of working memory decay across the adult life span. A sample of 1652 healthy adults was assessed in spatial and verbal working memory domains. Structural equation modeling analyses were conducted to search for potential mediators that intervened between age and working memory. Only 14 and 10 variables reliably mediated spatial and verbal working memory, respectively. Factors from several domains remained in the models, such as individual characteristics, physiological traits, consumption habits, and regular activities. These factors are sufficiently powerful to influence working memory decline when they jointly interact, as in everyday living.

The ability to remember the details of our own experiences declines gradually as we get old. The reason for this decay has been attributed to several factors besides age, such as education, nutrient intake and health status. However, the influence of these factors has mainly been examined individually and rarely together. Here we identify those factors that jointly act as mediators of episodic memory decay across the adult life span. We examined source memory in a lifespan sample of 1557 healthy adults. A total of 70 physical, biological and lifestyle variables were measured and introduced into a structural equation model as potential mediators that intervene between age and source memory. Only 14 mediator variables reliably mediated source memory decay; notably, eight of these variables have an effect on the cardiovascular system. The model unequivocally highlights that the mediators that may impair cardiovascular functioning also impact brain resources involved in episodic memory. We identified the factors that are relevant to episodic memory decline when they interact together as occurs in real life.

It has been well established that working memory abilities decrease with advancing age; however, the specific time point in the adult life span at which this deficit begins and the rate at which it advances are still controversial. There is no agreement on whether working memory declines equally for visuospatial and verbal information, and the literature disagrees on how task difficulty may influence this decay. We addressed these questions in a lifespan sample of 1,500 participants between 21 and 80 years old. The n-back task was used, with letters and circles presented at different positions around an imaginary circle, to evaluate working memory in the verbal and visuospatial domains, respectively. The participants' task was to judge whether the current stimulus matched a stimulus that was shown n trials prior. Both domains were evaluated in two levels of difficulty: 1-back and 2-back. The comparison across decades showed that discrimination in the visuospatial and 1-back tasks started to decline earlier in women than in men; however, discrimination was equal between the sexes in the verbal and 2-back tasks. Performance on tasks in the visuospatial domain exhibited more pronounced decline than in those in the verbal domain. The rate of decline in working memory accuracy was superior in 2-back tasks than in 1-back tasks, independent of the domain. These results revealed that the effects of aging on working memory are less dependent on the type of information and more reliant on the resources demanded by the task.

Previous studies have suggested that the ability to remember contextual information related to specific episodic experiences declines with advancing age; however, the exact moment in the adult life span when this deficit begins is still controversial. Source memory for spatial information was tested in a life span sample of 1,500 adults between the ages of 21 and 80. Initially, images of common objects were randomly presented on one quadrant of a screen while the participants judged whether they were natural or artificial. During the retrieval phase, these same images were mixed with new ones, and all images were displayed in the center of the screen. The participants were asked to judge whether each image was new or old, and whether it was old, to indicate in which quadrant of the screen it had originally been presented. Source accuracy decreased linearly with advancing age at a rate of 0.6% per year across all decades even after controlling for educational level; this decline was unaffected by sex. These results reveal that either spatial information becomes less efficiently bound to episodic representations over time or that the ability to retrieve this information decreases gradually throughout the adult life span.

Trochleitis is defined as the inflammation of the trochlea and peri-trochlear region, in particular the sheath of the superior oblique muscle; being bilateral is an extremely rare event. We think that is important to bear in mind for physicians as a remote possibility in ruling out causes of headache.

We report on a patient with nephrotic syndrome who developed superior sagittal sinus thrombosis. He presented with double vision due to bilateral sixth-nerve palsy and papilledema. The thrombosis resolved with intravenous heparin and oral corticosteroids. A month later there were no signs of ocular movement paresis, and both optic nerves were normal.