Validating age-related functional imaging changes in verbal working memory with acute stroke. Behav Neurol 2011;24(3):187-99
Date
08/31/2011Pubmed ID
21876259Pubmed Central ID
PMC3177151DOI
10.3233/BEN-2011-0331Scopus ID
2-s2.0-80052643366 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Functional imaging studies consistently find that older adults recruit bilateral brain regions in cognitive tasks that are strongly lateralized in younger adults, a characterization known as the Hemispheric Asymmetry Reduction in Older Adults model. While functional imaging displays what brain areas are active during tasks, it cannot demonstrate what brain regions are necessary for task performance. We used behavioral data from acute stroke patients to test the hypothesis that older adults need both hemispheres for a verbal working memory task that is predominantly left-lateralized in younger adults. Right-handed younger (age ⩽ 50, n = 7) and older adults (age > 50, n =21) with acute unilateral stroke, as well as younger (n =6) and older (n =13) transient ischemic attack (TIA) patients, performed a self-paced verbal item-recognition task. Older patients with stroke to either hemisphere had a higher frequency of deficits in the verbal working memory task compared to older TIA patients. Additionally, the deficits in older stroke patients were mainly in retrieval time while the deficits in younger stroke patients were mainly in accuracy. These data suggest that bihemispheric activity is necessary for older adults to successfully perform a verbal working memory task.
Author List
Meier TB, Naing L, Thomas LE, Nair VA, Hillis AE, Prabhakaran VAuthor
Timothy B. Meier PhD Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAge Factors
Aged
Aged, 80 and over
Brain Ischemia
Brain Mapping
Diffusion Magnetic Resonance Imaging
Female
Functional Laterality
Functional Neuroimaging
Humans
Male
Memory, Short-Term
Middle Aged
Neuropsychological Tests
Stroke