Comparison with organic amnesia
Psychogenic amnesia is supposed to differ from organic amnesia in a number of ways; one being that unlike organic amnesia, psychogenic amnesia is thought to occur when no structural damage to the brain or brain lesion is evident. Psychological triggers are instead considered as preceding psychogenic amnesia, and indeed many anecdotal case studies which are cited as evidence of psychogenic amnesia hail from traumatic experiences such as World War II. As aforementioned however, an etiology of psychogenic amnesia is controversial as causation is not always clear (see above paragraph), and both elements of psychological stress and organic amnesia may be present among cases. Often, but not necessarily, a premorbid history of psychiatric illness such as depression is thought to be present in conjunction to triggers of psychological stress. Lack of psychological evidence precipitating amnesia doesnt mean there isnt any, for example trauma during childhood has even been cited as triggering amnesia later in life, but such an argument runs the risk of psychogenic amnesia becoming an umbrella term for any amnesia of which there is no apparent organic cause. Due to organic amnesia often being difficult to detect, defining between organic and psychogenic amnesia is not easy and often context of precipitating experiences are considered (for example, if there has been drug abuse) as well as the symptomology the patient presents with. Psychogenic amnesia is supposed to differ from organic amnesia qualitatively in that retrograde loss of autobiographical memory while semantic memory remains intact is said to be specific of psychogenic amnesia.
Hypothenar hammer syndrome (HHS) is a vascular occlusion in humans in the region of the ulna. It is caused by repetitive trauma to the hand or wrist (such as that caused by the use of a hammer) by the vulnerable portion of the ulnar artery as it passes over the hamate bone, which may result in thrombosis, irregularity or aneurysm formation. HHS is a potentially curable cause of Raynauds syndrome, distinct from hand–arm vibration syndrome. Cause
Diagnosis
A physical examination of the hand may show discoloration (blanching, mottling, and/ or cyanosis; gangrene  may be present in advanced cases), unusual tenderness/ a callous over the hypothenar eminence, and fingertip ulcerations and splinter hemorrhages over ulnar digits; if an aneurysm is present, there may also be a pulsatile mass. Allens test will be positive if an occlusion is present and negative if an aneurysm is present. An angiogram may show a "corkscrew" ulnar artery or an occlusion or aneurysm at the hook of the hamate. Treatment
Noninvasive treatments have an 80% success rate; Example: switch jobs, stop smoking, regular finger exercise, surgical options exist for other instances. Epidemiology
HHS, though rare, occurs much more frequently in men than in women (9:1) and principally affects those in their 40s and 50s. == References ==