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Cortical and Subcortical Substrates of Working Memory in the Right Hemisphere: A Connectome-Based Lesion-Symptom Mapping Study

Neuropsychologia(2024)

Univ Geneva

Cited 1|Views1
Abstract
Working Memory (WM) is a cognitive system whose crucial role is to temporarily hold and manipulate information. Early studies suggest that verbal WM is typically associated with left hemisphere (LH) brain regions, while the processing of visuospatial information in WM more specifically depends on the right hemisphere (RH). However, recent evidence suggests a more complex network involving both hemispheres' prefrontal and posterior parietal cortices in these processes. Unfortunately, previous lesion studies often examined only one modality (either verbal, or visuospatial) or one hemisphere, which limits the possible conclusions regarding non-lateralized hemispheric involvement. Using connectome-based lesion-symptom mapping on a large sample of patients with left (LBD) and right (RBD) focal brain damage, we examined whether gray matter damage and white matter disconnections predict deficits of WM updating in an N-back task. Patients were examined with two WM tasks that differed regarding modality (verbal, spatial) and cognitive load (1-back, 2-back). Behavioral outcomes indicated that RBD patients showed significant deficits in WM updating, regardless of task modality or load. This observation was supported by whole-brain voxel-based analysis, revealing associations between WM deficits and gray matter clusters in the RH. Specifically, damage to the right lateral frontal cortex including the brain region homologous to Broca’s area was associated with verbal WM deficits, while damage to the right inferior parietal lobe and posterior temporal cortex predicted spatial WM deficits. Additionally, white matter analyses identified severely impacted tracts in the RH, predicting deficits in both verbal and spatial WM. Our findings suggest that the mental manipulation of both verbal and visuospatial information in WM updating relies on the integrity of the RH, irrespective of the specific type of information held in mind.
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N -back,Working Memory,Lesion mapping,Disconnectome,White matter disconnection
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要点】:本文通过连接组病变-症状映射研究,发现右侧大脑半球在处理工作记忆更新任务时具有关键作用,无论信息类型为语言还是视觉空间信息。

方法】:采用连接组病变-症状映射技术,研究左侧和右侧脑损伤患者在N-back任务中的工作记忆更新缺陷。

实验】:对大量左侧(LBD)和右侧(RBD)脑损伤患者进行两种工作记忆任务(语言和空间,1-back和2-back),结果显示RBD患者在两种任务中均显示出显著的工作记忆更新缺陷。实验使用的数据集为患者的灰质损伤和白质断裂数据,通过全脑体素分析发现与工作记忆缺陷相关的右侧大脑灰质簇。