The aim of the present fMRI study was to localize brain areas that were uniquely activated for phonological versus spatial working memory. Previous studies have reported inconsistent results, most likely because of methodological heterogeneity varying both stimuli and instructions in the same study. Here, identical consonant-vowel-consonant non-words were visually presented to the subjects in a 2-back paradigm under two different instructions; the subjects either had to memorize the non-words per se or their location. The results give evidence for a hemispheric organization of working memory, with dominance for processing of phonological information in the left hemisphere and frontal cortex, and spatial information in the right hemisphere and parietal cortex. The results also reflect a certain overlap between the neuronal network for working memory and processing of verbal and spatial material. These findings are discussed with regard to processing specificity and the extent that activated areas also may reflect perceptual processes.

These findings do not support the hypothesis of abnormal dACC activity during a Go/No-go task in BD II patients.