Sex differences in the relationship between visual memory and MRI hippocampal volumes

This study investigated sex differences in the relationships between visual memory and MRI-determined hippocampal volume data before and after right and left temporal lobectomy (TL). Preoperative visual memory and postoperative visual memory change were evaluated by the Wechsler Memory Scale - Revised, and MRI hippocampal volumes were obtained in 54 right (28 men and 26 women) and 75 left (33 men, 42 women) TL patients. Preoperative visual memory and postoperative visual memory change were significantly related to the difference between hippocampal volumes (DHV) in right TL women but not right TL men. That is, extirpation of a large right hippocampus was significantly associated with a visual memory decline, but only in women. These findings support the presence of sexually dimorphic brain function and suggest that visual memory ability in women may be less plastic after a developmentally early right mesial temporal insult.