Ten cerebellar patients were compared to ten control subjects on a verbal working memory task in which the phonological similarity of the words to be remembered and their modality of presentation were manipulated. Cerebellar patients demonstrated a reduction of the phonological similarity effect relative to controls. Further, this reduction did not depend systematically upon the presentation modality. These results first document that qualitative differences in verbal working memory may be observed following cerebellar damage, indicating altered cognitive processing, even though behavioral output as measured by the digit span may be within normal limits. However, the results also present problems for the hypothesis that the cerebellar role is specifically associated with articulatory rehearsal as conceptualized in the Baddeley-Hitch model of working memory.
Keywordscerebellum; verbal working memory; speech perception; language; cognition; short-term memory; dysarthria; aphasia Researchers in cognitive neuroscience have in many cases looked to converging data from multiple methodologies when investigating a cognitive process of interest. The complementary perspectives of functional neuroimaging and cognitive neuropsychology are often employed in this regard; a strong case can be made for the involvement of a brain region in a given cognitive process when it is both metabolically active when healthy participants engage in the cognitive process, and when damage to this region disrupts the same cognitive process. Although the precise nature of this involvement may prove elusive to characterize, the brain region comes to be regarded as an essential component of the system in question. When the two methodologies of neuroimaging and neuropsychology do not converge, however, even the most basic question of whether a given region is involved in a cognitive process is difficult to address.One issue that must be kept in mind when making comparisons between data from neuroimaging and data from neuropsychology is that the two methods provide very different kinds of evidence about cognition. Neuroimaging studies have the potential to document qualitative aspects of cognitive processing that may not be evident from the behavioral outcome. In contrast, neuropsychological data -particularly that from standardized batteries that examine for gross impairment across a wide range of cognitive tasks -sometimes do not
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript allow for such an observation. Identical behavioral outcomes may become falsely equated with identical cognitive processes, when this most certainly is not always the case. 1 Neuropsychological studies must be designed such that the relevant qualitative as well as quantitative differences in a cognitive process may be observed.A relative lack of convergence in the neuroimaging and neuropsychological literatures was a part of the motivation for the current study, which investigated the verbal working memory abilities of patients with damage...