Abstract
Objective
During verbal communication, humans briefly maintain mental representations of speech sounds conveying verbal information, and constantly scan these representations for comparison to incoming information. We determined the spatio-temporal dynamics of such short-term maintenance and subsequent scanning of verbal information, by intracranially measuring high-gamma activity at 70–110 Hz during a working memory task.
Methods
Patients listened to a stimulus set of two or four spoken letters and were instructed to remember those letters over a two-second interval, following which they were asked to determine if a subsequent target letter had been presented earlier in that trial’s stimulus set.
Results
Auditory presentation of letter stimuli sequentially elicited high-gamma augmentation bilaterally in the superior-temporal and pre-central gyri. During the two-second maintenance period, high-gamma activity was augmented in the left pre-central gyrus, and this effect was larger during the maintenance of stimulus sets consisting of four compared to two letters. During the scanning period following target presentation, high-gamma augmentation involved the left inferior-frontal and supra-marginal gyri.
Conclusions
Short-term maintenance of verbal information is, at least in part, supported by the left pre-central gyrus, whereas scanning by the left inferior-frontal and supra-marginal gyri.
Significance
The cortical structures involved in short-term maintenance and scanning of speech stimuli were segregated with an excellent temporal resolution.
Keywords: High-frequency oscillations (HFOs), Subdural electroencephalography (EEG), Intracranial electrocorticography (ECoG) recording, Pediatric epilepsy surgery, Sternberg paradigm, 4D brain mapping
1. Introduction
Imagine that you are an efficient waiter/waitress and a group of your customers are ordering dishes delivered in a sequence such as ‘turkey’, ‘ham’, ‘chicken’, ‘fish’, ‘chicken’, and so on. You would presumably use verbal working memory operations including maintenance of mental representation of the items and scanning these representations to determine a match among previously encountered items to comprehend what and how many items were ordered (Baddeley, 1986; Hickok and Poeppel, 2007; Rauschecker and Scott, 2009; Sternberg, 1966). Previous studies using functional MRI (fMRI) and positron emission tomography (PET) showed widespread brain activation in the frontal and parietal lobes, which were suggested to support the execution of operations involved in verbal working memory (Awh et al., 1996; Cohen et al., 1997; Huang et al., 2013; Paulesu et al., 1993). Yet, the precise localization of these activations and the specific cortical dynamics supporting verbal working-memory operations of externally-delivered auditory stimuli have remained poorly understood. Previous fMRI studies reported that language tasks tapping verbal working memory function elicited activations in the left inferior-frontal region including Broca’s area, but also in regions outside of typical language areas such as in the pre-central gyrus; thereby, activation outside Broca’s area was presumably attributed to verbal working memory processing (Gaillard et al., 2003; Schapiro et al., 2004; Szaflarski et al., 2006; Wood et al., 2004).
The main aim of this study was to characterize the temporal dynamics of localized cortical activity involved in verbal working memory maintenance and scanning. Patients with focal epilepsy undergoing intracranial electrocorticography (ECoG) were assigned an auditory working-memory task (adapted from Sternberg, 1966), based on which we localized cortical activation taking place specifically during the maintenance and scanning periods. We chose a simple task that would allow us to define the maintenance and scanning periods, while minimizing semantic or syntactic processing and not requiring the operations of long-term memory functions. Participants were asked to listen to either two or four letters and to keep the letters in mind for two seconds (i.e. maintenance period), following which they listened to a target letter and decided whether the target was a new letter or had previously been presented in that trial (i.e. scanning period) (Fig. 1).
In each participant, we measured high-gamma activity on ECoG during the maintenance and scanning periods; thereby, augmentation of high-gamma activity at 70–110 Hz was treated as a biomarker of in-situ cortical activation (Crone et al., 2006; Kojima et al., 2013; Towle et al., 2008). A number of studies, including ours, have reported the spatial concordance between the primary language areas defined by neurostimulation and language task-related augmentation of high-gamma activity including this frequency range (Kojima et al., 2012; Leuthardt et al., 2007; Ruescher et al., 2013; Wang et al., 2016). We assessed whether high-gamma activity would be differentially augmented in the frontal and parietal regions during the two-second maintenance period and during the subsequent scanning period. We also assessed whether there would be an effect of working memory load by comparing the degree of high-gamma augmentation in activated regions during trials presenting four (high-load) compared to two letter (low-load) stimulus sets. The presence of such memory load-dependent pattern of activation would support the key roles of high-gamma activated sites in short-term maintenance and scanning of verbal information, respectively (i.e.: ‘dose-response effect’ in Asano et al., 2013).
2. Methods
2.1. Participants
A consecutive series of 19 patients satisfying the following inclusion and exclusion criteria were studied (age range: 6–44 years; seven females; Table 1). The inclusion criteria consisted of: (i) a history of drug-resistant epilepsy scheduled for chronic subdural ECoG recording as part of presurgical evaluation at Children’s Hospital of Michigan or Harper University Hospital, Detroit, between December 2010 and July 2015, (ii) age of five years or older, (iii) measurement of ECoG amplitude augmentation driven by a letter-based working memory task described in the ‘Working Memory Task’ section below. The exclusion criteria consisted of: (i) presence of massive brain malformations, (ii) right-hemispheric language dominance (Akanuma et al., 2003; Knecht et al., 2000; Kojima et al., 2013), (iii) bilateral seizure foci, (iv) Verbal Intelligence Quotient or Verbal Comprehension Index less than 70, (v) inability to complete the tasks described in the ‘Working Memory Task’ section below due to the lack of adequate vocabulary, comprehension of task instructions, or cooperation, and (vi) history of previous neurological surgery. This study has been approved by the Institutional Review Board at Wayne State University (Protocol number: 048404MP2E), and written informed consent was obtained from all patients, their legal parent, or guardian.
Table 1.
Patient | Age (Year) | Gender | Sampled lobes | Number of electrodes included for analysis | Seizure onset zone | Pathology |
---|---|---|---|---|---|---|
1 | 6 | F | Lt TPOF | 98 | Lt T | Gliosis |
2 | 9 | F | Lt TPOF | 91 | Lt T | Tumor |
3 | 12 | F | Lt TPOF | 99 | Lt T | Gliosis |
4 | 13 | M | Lt TPOF | 93 | Lt T | Gliosis |
5 | 14 | M | Lt TPOF | 102 | Lt T | Gliosis |
6 | 14 | M | Rt TPOF | 105 | Rt F | Dysplasia |
7 | 15 | F | Lt TPOF | 120 | Not captured* | Tumor |
8 | 16 | M | Lt TPOF; Rt F | 92 | Lt T | Gliosis |
9 | 16 | M | Lt TPOF | 97 | Lt T | Gliosis |
10 | 17 | M | Lt TPOF | 79 | Lt T | Gliosis |
11 | 17 | F | Lt TPOF | 107 | Lt T | Heterotopia |
12 | 18 | M | Rt TPOF | 89 | Rt T | Gliosis |
13 | 20 | M | Lt TPOF | 86 | Lt T | Gliosis |
14 | 21 | F | Lt TPOF | 84 | Lt T | Gliosis |
15 | 27 | F | Lt TPOF | 72 | Lt F | Tumor |
16 | 28 | M | Rt TPF | 75 | Rt T | Tumor |
17 | 29 | M | Rt TPF; Lt F | 94 | Rt TP | Dysplasia |
18 | 31 | M | Rt TPOF; Lt TOF | 118 | Rt T | Tumor |
19 | 44 | M | Rt TPOF | 80 | Rt TP | Gliosis |
The location of subdural electrode placement was determined based on clinical necessity, and we did not place electrodes more than clinically indicated (Nonoda et al., 2016).
: MRI showed an area with increased T2 signal in the left parietal lobe, of which radiological diagnosis was ulegyria. Resection of the parietal lesion was performed with sensorimotor, language and visual functions preserved. Pathological examination yielded a diagnosis of ganglioglioma without a surrounding cortical dysplasia. F: Female. M: Male. Lt: Left. Rt: Right. T: Temporal. P: Parietal. O: Occipital. F: Frontal.
2.2. Acquisition of ECoG and three dimensional Magnetic Resonance (3D MR) surface images
Subdural platinum grid electrode (10 mm center-to-center distance; 4 mm diameter) placement was as described previously by our team (Matsuzaki et al., 2015; Nonoda et al., 2016). Extraoperative video–ECoG recordings were obtained for three to five days, using a 192-channel Nihon Kohden Neurofax 1100A Digital System (Nihon Kohden America Inc., Foothill Ranch, CA, USA) at a sampling frequency of 1,000 Hz as previously described. Total electrode contact number ranged from 86 to 138 per patient. The average of ECoG signals derived from the 5th and 6th intracranial electrodes was used as the original reference, and ECoG signals were then re-montaged to an average reference (Fukuda et al., 2008; Nagasawa et al., 2012). Sites classified as seizure onset zone were clinically determined (Asano et al., 2009) and excluded from further analysis (Jacobs et al., 2009; Zijlmans et al., 2012). Likewise, sites showing interictal spikes or artifacts during the task were excluded from analysis. Thus, the number of analyzed electrodes ranged from 72 to 120 per patient. Subsequent ECoG analysis was performed with a common average reference excluding channels classified as seizure onset zone as well as those affected by interictal spikes or artifacts.
Volumetric-T1-weighted spoiled gradient echo MR image was obtained preoperatively using a previously described protocol (Nagasawa et al., 2010). Lateral and anterior–posterior X-rays were acquired following placement of intracranial electrodes; thereby, three metallic fiducial markers were placed at anatomically well-defined locations on the patient’s head for co-registration of the X-ray with the MRI. A 3D MRI brain surface image was created with electrodes delineated (Alkonyi et al., 2009; Matsuzaki et al., 2015; Muzik et al., 2007). Accuracy was confirmed by intraoperative digital photographs of in situ electrodes in each patient (Nonoda et al., 2016; Pieters et al., 2013; Wellmer et al., 2002). Post-implant CT images were reviewed, as needed, to confirm the co-registration accuracy in the medial or inferior surfaces of the cortex. The spatial normalization of each individual electrode site was performed using FreeSurfer scripts (http://surfer.nmr.mgh.harvard.edu). Electrode sites on each individual’s FreeSurfer brain surface were transformed into Talairach coordinates, and finally plotted on the averaged FreeSurfer pial surface image, referred to as “fsaverage” (Chan et al., 2011; Desikan et al., 2006). The surface-based group averaging using FreeSurfer has been validated in children. The mean registration error was reported to be 1.56 mm in those ranging in age from 4 to 11 years old (Ghosh et al., 2010). Automatic parcellation of cortical gyri was performed at both individual and spatially normalized brain surfaces (Desikan et al., 2006; Matsuzaki et al., 2015), and all electrode sites were assigned anatomical labels (Fig. 2A). The regions of interest (ROIs; Fig. 2B) included: (i) superior-temporal, (ii) inferior-frontal, (iii) middle-frontal, (iv) pre-central, (v) post-central, and (vi) supra-marginal regions, bilaterally; neuroimaging studies consistently reported that these regions were involved during auditory working memory tasks (Huang et al., 2013; Paulesu et al., 1993).
2.3. Verbal working memory task
The working memory task employed in this study represents a letter-based, auditory variation on the Sternberg task (Sternberg, 1966), whereas visual stimuli were presented in working memory tasks of other ECoG studies (Axmacher et al., 2010; Meltzer et al., 2008; Noy et al., 2015; Raghavachari et al., 2006; Rodriguez Merzagora et al., 2014; Tertel et al., 2011). None of the patients had a seizure event within two hours prior to or during task performance. While comfortably seated on a bed, patients received 60 question-and-answer trials. All auditory stimuli were delivered via playback of an audio recording of an author’s (E.C.B.) voice using Presentation version 9.81 software (Neurobehavioral Systems Inc., Albany, CA, USA). No warning signal was given before each trial. Each letter was delivered over 500 ms with 200 ms between each letter in a set. None of the letter stimuli were abnormally pronounced or truncated. All consonants of the English alphabet were used, excluding ‘w’ because it is verbalized as a three syllable word. Since the sound of some letters is similar, such as ‘d’ and ‘p’ or ‘f’ and x’, care was taken to ensure that two similar sounding letters were never delivered in succession. As the target letter is a repeat of one of the letters in a set in half of the trials, letters were recorded in three different intonations: rising, falling, and flat. Target letters in such ‘yes’ trials were never an exact replica of the remembered letters in the set since the intonation was always made to be different. The audible session was integrated with ECoG as previously reported (Brown et al., 2008). Subsequently, the onset and offset of stimulus set, target letter, and patient’s response were marked offline for each trial. Response time was defined as the period between target letter onset and response onset. The period between response offset and stimulus onset was jittered across trials and was 6.2 s on average across patients (standard deviation: 2.8 s).
2.4. Evaluation of ECoG amplitude changes
ECoG signals were transformed into the time-frequency domain, and we determined ‘when’ and ‘where’ high-gamma activity70–110 Hz was augmented. The time-frequency analysis used in the present study was previously described and validated (Brown et al., 2012; Kojima et al., 2013; Nishida et al., 2016; Toyoda et al., 2014). The primary measures of interest were the percent change in amplitude (a measure proportional to the square root of power) of high-gamma activity70–110 Hz relative to that during the reference period at 600–200 ms prior to stimulus onset (Supplementary Figure S1). We determined what ROIs were differentially associated with high-gamma augmentation during the maintenance and scanning periods (Fig. 1). We also determined if the degree of such high-gamma augmentation was greater during the high-load compared to low-load trials.
Trials in which the patient failed to provide a correct response were excluded from the time-frequency analysis. ECoG voltage signals during all included trials were transformed into the time-frequency domain using a complex demodulation technique (Brown et al., 2012; Hoechstetter et al., 2004; Papp and Ktonas, 1977). ECoG amplitude was measured at each channel in steps of 5 Hz and 10 ms, and high-gamma amplitude ranging from 70 to 110 Hz was calculated at each 10 ms period. We determined whether the degree of task-related augmentation of high-gamma70–110 Hz activity in each ROI reached significance using studentized bootstrap statistics (Davison and Hinkley, 1997; Terwee et al., 2010) followed by Bonferroni correction (for 275 data points for the maintenance and scanning periods; see the behavioral results below). The level of significance was set at corrected p=0.05 (a critical alpha per test was commonly 0.05/275). This approach is very conservative, and may fail to find a small difference. Furthermore, the percent change in high-gamma amplitude at each 10-ms epoch was presented at each electrode site with a Gaussian half-width at half maximum of 3 mm, and sequentially animated on the average FreeSurfer pial surface image as a function of time throughout the task (Video S1).
3. Results
3.1. Behavioral results
All patients were able to participate in the task until completion. On average, 92.5% (±6.5% standard deviation) of all working memory trials were correctly answered. There was no significant difference in the average percentage of correct responses between the low- and high-load trials (93.9% vs 91.1%, respectively; p = 0.3 on Wilcoxon Signed Rank Test). Compared to low-load trials, high-load trials were associated with a longer response time (mean response time: 1,714 ms and 1,825 ms, respectively; p = 0.02 on Wilcoxon Signed Rank Test). Since the shortest mean response time among all 19 patients was 814 ms, the response motor process may be initiated around 800 ms following target onset in some patients. Therefore, a period of 750 ms immediately following target onset was treated to be the scanning period prior to the motor process, whereas a period of 2,000 ms immediately prior to target onset was the maintenance period (Fig. 1).
3.2. Task-related high-gamma augmentation
Presentation of each letter stimulus elicited high-gamma augmentation in the superior-temporal and then pre-central gyri, bilaterally (Fig. 3A; Video S1). High-gamma augmentation in the pre-central gyri lingered during the maintenance period with left hemispheric dominance, and the degree of such pre-central high-gamma augmentation was larger during the high-load compared to low-load trials (Fig. 3B). Presentation of the target letter again elicited high-gamma augmentation in the superior-temporal and then pre-central gyri, bilaterally. Subsequently, during the scanning period, high-gamma augmentation was observed in the inferior-frontal and supra-marginal gyri (Fig. 3C). Left-hemispheric dominance of high-gamma augmentation during the maintenance period is confirmed by the supplementary analysis (Supplementary Figure S2). Finally, at response onset, high-gamma augmentation involved the pre- and post-central gyri, bilaterally (Fig. 3D). The temporal dynamics of high-gamma amplitude in each ROI are presented in Fig. 4.
The Wilcoxon Signed Rank test, employed to the six ROIs in the left hemisphere, showed that the degree of pre-central high-gamma augmentation during the 2,000-ms maintenance period was greater in high-load trials compared to low-load trials (Fig. 5A). No other ROIs in the left hemisphere showed a difference in the degree of high-gamma augmentation during the maintenance period between high-load and low-load trials. During the 750-ms scanning period, left superior-temporal and post-central high-gamma amplitudes were rather smaller in high-load trials compared to in low-load ones (Fig. 5B). The spatial-temporal dynamics of high-gamma activity of the right hemisphere is presented in Supplementary Figure S3. In the right hemisphere, no significant difference in the degree of high-gamma augmentation was noted between high-load and low-load trials during the maintenance or scanning period.
As a post-hoc analysis to explore the significance of high-gamma modulations during the scanning period, we compared the amplitude of high-gamma activity between the trials with the target letter included in the preceding stimulus set (‘Yes’ trials) and those without (‘No’ trials) (Wilcoxon-Signed Rank test). Within the left inferior-frontal, supra-marginal, and post-central gyri, high-gamma amplitude during the scanning period was greater during ‘Yes’ trials compared to during ‘No’ (Fig. 6).
4. Discussion
4.1. Role of the left pre-central gyrus in verbal working memory maintenance
In this study, we successfully identified key cortical structures involved in working memory maintenance and scanning of speech stimuli. Furthermore, we provided novel evidence that short-term maintenance of auditory-verbal information is supported by the pre-central gyrus with left hemispheric dominance (Video S1). During the maintenance period, high-gamma augmentation specifically involved the left pre-central gyrus; furthermore, high-gamma augmentation differed by working memory loads, with the high-load condition associated with a significantly longer response time and greater pre-central high-gamma augmentation, compared to the low-load condition (Fig. 5). Thus, left-hemisphere dominant pre-central high-gamma augmentation sustaining during the maintenance period is strongly related to working memory maintenance of verbal stimuli. Alternatively, it is possible that bilaterally-symmetric pre-central high-gamma augmentation immediately following stimulus presentation, as best presented in Fig. 3A, could reflect sensory-motor transformations for speech sounds (Cogan et al., 2014) or automatic/short-term buffer of perceived acoustic representations (Baddeley, 1986; 2000); i.e. covert rehearsal. Further studies using electrical stimulation of the left pre-central gyrus would be useful to determine if this region plays a critical role in verbal working memory maintenance. The left pre-central ROI is a part of the dorsal and ventral attention network (Macaluso, 2010; Vossel et al., 2014), and increase in working memory load might modulate attention to stimuli.
The spatial characteristics of high-gamma modulation in our ECoG study were consistent with those reported in previous fMRI studies of working memory which employed Sternberg-type paradigms (Sternberg, 1966) in both visual and auditory domains. For example, an fMRI study of visual working memory reported that hemodynamic activation involved the occipital lobe initially during a 2–3 second encoding period, whereas subsequent activation involved the left inferior-frontal, supra-marginal, and pre-central gyri most intensely both during 3–6 second maintenance and 2 second scanning periods (Michels et al., 2010; Narayanan et al., 2005). Memory-load effects in the left pre-central gyrus were reported in some fMRI studies (Chang et al., 2007; Habeck et al., 2005; Huang et al., 2013; Kirschen et al., 2010) but not in another (Narayanan et al., 2005).
Several of the pre-central high-gamma sites associated with verbal working memory maintenance function were located over or proximal to the frontal eye field (Kirchner et al., 2009). In five patients (#4, 5, 6, 10, and 12; Table 1 and Supplementary Figure S4), we found the instance of eye deviation upon electrical brain stimulation of an electrode pair exactly overlying or immediately adjacent to the electrode associated with verbal working memory maintenance. The frontal eye fields, identified by lateral eye deviation toward the contralateral side upon electrical brain stimulation, have been shown to be involved in both fast auditory and visual processing (Brown et al., 2012, Brown et al., 2014b; Kirchner et al., 2009).
Our ECoG study was unique in that we assessed verbal working memory using an auditory Sternberg task, whereas previous ECoG studies employed a visually-based task (Axmacher et al., 2010; Howard et al., 2003; Meltzer et al., 2008; Noy et al., 2015; Raghavachari et al., 2006; Rodriguez Merzagora et al., 2014; Tertel et al., 2011). Those studies with sufficient spatial coverage reported significant augmentation of gamma to high-gamma activity at 30–150 Hz in the left pre-central gyrus during the maintenance period (Howard et al., 2003; Meltzer et al., 2008; Noy et al., 2015). Unlike in our study, few ECoG studies have employed a load manipulation and therefore satisfactorily assessed a pattern of load-dependence in pre-central high-gamma responses during the maintenance period (Roux and Uhlhaas, 2014).
The onset of left pre-central high-gamma augmentation during the scanning period preceded that in the left inferior-frontal region. Though not significant with the entire scanning period taken into account (Fig. 5B), left pre-central high-gamma augmentation in high-load trials (Fig. 4B) was somewhat smaller than that in low-load ones (Fig. 4A). The functional role of left pre-central high-gamma augmentation during the scanning period is not completely understood, and may not be limited to sensory-motor transformation of speech sounds alone (Cogan et al., 2014). A smaller degree of amplitude augmentation in high-load trials, compared to that in low-load ones, can be explained by the hypothesis that much of the neural resources in this gyrus could have been allocated to the working memory maintenance of a larger number of letter stimuli. The temporal proximity of high-gamma augmentation in the left precentral, inferior-frontal, and supra-marginal gyri raises the possibility of neural interaction exerted across these cortical structures during the scanning period. Many of the neurobiological models of language propose that the left inferior-frontal region receives mental representations of speech sounds primarily from the temporal neocortex rather than the pre-central gyrus (Rauschecker and Scott, 2009; Skeide and Friederici, 2016). Further studies using network analysis (Flinker et al., 2015) may better determine how the superior-temporal, pre-central, inferior-frontal, and supra-marginal gyri interact with each other when the human brain determines a match among previously encountered speech items.
4.2. Role of the left inferior-frontal and supra-marginal gyri in working memory scanning
In this ECoG study, we identified high-gamma augmentation in the left inferior-frontal and supra-marginal gyri during scanning to determine a match for an auditory stimulus. This effect was particularly large when participants indeed found a match (Fig. 6). This is consistent with the results of previous neuroimaging (Chen and Desmond, 2005; Paulesu et al., 1993) and ECoG studies (Howard et al., 2003; Mainy et al., 2007) showing hemodynamic or electrophysiological activation during working memory tasks. A plausible interpretation of these activations is that left inferior-frontal high-gamma augmentations reflects the attentive judgement of a match, whereas left supra-marginal augmentations reflects the retrieval of phonological information. This interpretation is in part derived from the report that left inferior-frontal hemodynamic activation can be induced by non-verbal visual working memory, whereas working memory tasks using verbal stimuli are often associated with left supra-marginal gyrus activation (Cohen et al., 1997; Courtney et al., 1997; Crottaz-Herbette et al., 2004).
In this ECoG study, we failed to find load-dependent high-gamma modulations in left inferior-frontal and supra-marginal regions, unlike some but not all fMRI studies of visual verbal working memory (Braver et al., 1997; Cairo et al., 2004; Chen and Desmond, 2005). This null effect in our ECoG study could be attributed to the experimental design; each patient was assigned only 2- or 4-letter trials. Conversely, participants in fMRI studies were often given 6-letter trials. Since our patients underwent a working memory task under an invasive presurgical evaluation, we designed a relatively easy task. Nonetheless, our behavioral results indicated that 4-letter (high-load) trials, compared to 2-letter (low-load) trials, took a longer time to execute, and were associated with a load-effect in the left pre-central gyrus as discussed above.
4.3. Significance of high-gamma attenuation in the left superior-temporal and post-central gyri
Left superior-temporal high-gamma activity was minimally augmented during the maintenance period and significantly augmented at the beginning of the scanning period (Fig. 4). Trials with a match (‘Yes’ trials) and those without (‘No’ trials) were associated with a similar degree of left superior-temporal high-gamma augmentation during the scanning period (Fig. 6AB), whereas ‘Yes’ trials, compared to ‘No’, showed larger high-gamma augmentation later seen in the left inferior-frontal and supra-marginal regions (Fig. 6C). If match-preferential high-gamma augmentation in the left inferior-frontal or supra-marginal regions is interpreted to reflect the output of the scanning process, a plausible candidate for the structure exerting true scanning activity may be the cortical network across the left superior-temporal and the aforementioned frontal-parietal regions.
High-load trials were associated with reduced high-gamma augmentation in the left superior-temporal gyrus during the scanning period (Fig. 5B). Such reduced high-gamma activity during high-load trials may be, in part, attributed to the phenomenon of ‘repetition suppression/neural habituation’ (Engell and McCarthy, 2014; Matsuzaki et al., 2012), since the high-load trials were intrinsically associated with a larger number of voice stimuli preceding the target onset. Alternatively, reduced high-gamma augmentation in high-load trials may be explained by the notion that greater attention to high-load trials resulted in greater suppression (or reduced activation) of primary sensory functions (i.e.: reduced attention to external sounds or sensations, increased selectivity of attention with increased working memory load) which may be obtrusive at the moment in which the scanning process is executed. Reduction of high-gamma activation in the left superior-temporal cortex may have been induced by increased working memory maintenance load in the left pre-central gyrus via the arcuate fasciculus (Brown et al., 2014a); likewise, suppression of the post-central gyrus may have been mediated via U-fibers between pre- and post-central gyri. Such transient suppression of the sensory cortex has been reported in the primary auditory cortex during retrieval of a relevant answer for a question (Towle et al., 2008), in the primary somatosensory cortex during articulation of phonemes (Toyoda et al., 2014), and in the primary visual cortex for the peripheral vision during attention directed to central vision (Uematsu et al., 2013).
5. Conclusion
In this study we have generated rich and unique data identifying working memory processing associated with verbal auditory stimuli. The left pre-central gyrus was identified here as a seat of verbal working memory maintenance for auditory stimuli with a ‘dose-response’ correlating with working memory load. Working memory scanning function for auditory stimuli was localized primarily in the inferior-frontal gyrus, within Broca’s area, and the supra-marginal gyrus of the left hemisphere, and this observation highlights the role of traditional language cortex in auditory verbal working memory function.
A particular region of cortex, midway up the lateral surface of the left pre-central gyrus, appears to be rich with various functions. While this study was not designed to explore this region specifically, we believe that further study of this gyrus proximal to the frontal eye fields may yield new insights into the cortical function of language, working memory, and beyond. The clinical significance of sites in this particular region of the pre-central gyrus also requires further investigation.
Supplementary Material
Highlights.
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Intracranial electrocorticography recordings revealed high-gamma augmentation during working memory maintenance in left pre-central gyrus.
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Such pre-central high-gamma augmentation was larger when memory load was increased.
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Left inferior-frontal and supra-marginal gyri showed high-gamma augmentation during scanning.
Acknowledgments
This work was supported by NIH grants NS64033 (to E. Asano) and MH107512 (to N. Ofen) as well as the intramural grant from Children’s Hospital of Michigan Foundation (to E. Asano). We are grateful to Sandeep Sood, MD, Aashit Shah, MD, Sandeep Mittal, MD, Robert Rothermel, PhD, Alanna Carlson, MS, LLP, Carol Pawlak, REEG/EPT at Detroit Medical Center, Wayne State University for the collaboration and assistance in performing the studies described above.
Footnotes
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Conflict of interest statement
None of the authors have potential conflicts of interest to be disclosed.
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