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Verbal Working Memory At School Age Following Early Focal Brain Injury

 S. L. Nichols, D. A. Trauner, J. Clark, S. Waller and K. Valenzuela
  
 

Abstract:
Changes in verbal working memory (VWM) in childhood play an important role in theories of cognitive development. However, the brain-behavior relationships underlying VWM in children, and particularly the developing brain's potential for functional plasticity of VWM following early damage, are not well understood. The goal of this study was to assess the plasticity of VWM in children following very early, circumscribed damage. We compared the performance of 16 children (age 8-13) with unilateral, focal brain damage sustained pre- or perinatally (FL group) with that of 87 control children on two tasks: verbal self-ordered pointing (VSOP), used to measure VWM, and a standardized, 4-trial word-list learning task used as a control measure. The VSOP task required children to point to a different word on each presentation of lists of 6, 8, 10, and 12 words. The FL group had significantly more pointing repetitions on VSOP than the control group, and a trend towards worse performance on the control task. Children with left hemisphere lesions (n=9) showed a trend towards worse performance than those with right hemisphere lesions (n=7) on the VSOP but not the list task. These results suggest that deficits in VWM can remain 8-13 years following early damage, particularly in the left hemisphere. Relationships with lesion location and with other verbal and executive functions will be presented.

 
 


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