Although the prefrontal cortex (PFC) is consistently found to be
associated with various working memory processes, the necessity of the PFC
for such processes remains unclear. To elucidate PFC contributions to
storage and rehearsal/maintenance processes engaged during verbal
working memory function, we assessed behavior of patients with lesions to
the left or right lateral PFC, and neural activity of healthy young
subjects during fMRI scanning, during performance of working memory tasks.
We found that PFC lesions did not affect storage processes—which is
consistent with the notion that posterior cortical networks can support
simple retention of information. We also found that PFC lesions did not
affect rehearsal/maintenance processes, which was in contrast to our
finding that healthy subjects performing a verbal delayed recognition task
showed bilateral PFC activation. These combined imaging and behavioral
data suggest that working memory rehearsal/maintenance processes may
depend on both hemispheres, which may have implications for recovery of
function and development of rehabilitation therapies after frontal injury.
(JINS, 2006, 12, 248–260.)