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How were the brains of London cab drivers who passed the exam different from those who failed the exam?

Now, with the exam over, the researchers found an increase in grey matter -- the nerve cells in the brain where processing takes place -- in the back part of the hippocampus of the trainees who passed the test. Those that failed, or never learned, had no changes to their brain structure.



A famous neuroimaging study led by Eleanor Maguire at University College London revealed that London cab drivers who successfully passed "The Knowledge"—the rigorous test requiring them to memorize 25,000 streets—showed significant structural changes in their brains. Specifically, the posterior hippocampus, a region associated with spatial memory and navigation, was significantly larger and had a higher volume of gray matter compared to those who failed the exam or members of the general public. Interestingly, the study followed trainees over several years and found that while the successful candidates grew their hippocampi through the intense mental exercise of navigating the "mental map" of London, those who dropped out or failed showed no such structural growth. This research serves as a landmark example of neuroplasticity, proving that the adult human brain can physically rewire and enlarge itself in response to high-level cognitive demands and environmental stimulation over an extended period.

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London cabbies have remarkable brains,” said Hugo Spiers, a professor of cognitive neuroscience who is leading the study with several graduate students. “Specifically, their brains' are larger in a region that shrinks early in Alzheimer's disease — the hippocampus.”

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What was the aim of Maguire et al's study? To investigate whether changes (plasticity) could be detected in the brains of London taxi drivers and to further investigate the functions of the hippocampus in spatial memory.

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Taxi drivers, as well as other professional drivers categories, may experience genitourinary disturbances such as voiding dysfunction, urinary infections but also infertility, urolithiasis, bladder cancer, also called “taxi cab syndrome”[13].

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Previous studies have shown that taxi drivers have a larger hippocampus compared to non-taxi drivers. This is interesting as this brain region shrinks and becomes damaged in Alzheimer's disease, leading to symptoms of memory loss and confusion associated with the disease.

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Introduced in the mid 19th Century, The Knowledge requires drivers to memorise 25,000 streets and 100,000 landmarks within a six-mile radius of Charing Cross. Successful applicants have to pass up to a dozen interviews with the entire process taking up to four years.

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