Posterior Electrodes Research Articles

Resting posterior alpha power and adolescent major depressive disorder

For several decades, resting electroencephalogram (EEG) alpha oscillations have been used to characterize neurophysiological alterations related to major depressive disorder. Prior research has generally focused on frontal alpha power and asymmetry despite resting alpha being maximal over posterior electrode sites. Research in depressed adults has shown evidence of hemispheric asymmetry for posterior alpha power, however, the resting posterior alpha-depression link among adolescents remains unclear. To clarify the role of posterior alpha among depressed adolescents, the current study acquired eyes-closed 128-channel resting EEG data from 13 to 18 year-old depressed (n = 31) and healthy (n = 35) female adolescents. Results indicated a significant group by hemisphere interaction, as depressed adolescents exhibited significantly larger posterior alpha (i.e., lower brain activity) over the right versus left hemisphere, whereas healthy adolescents showed no hemispheric differences. Relatively greater alpha over the right versus left hemisphere correlated with depression symptoms, anhedonia symptoms, rumination, and self-criticism. Further, depressed adolescents had reduced overall posterior alpha compared to healthy youth; though, no associations with symptoms and related traits emerged. Resting posterior alpha may be a promising neurophysiological index of adolescent depression, and more broadly, may relate to risk factors characterized by enhanced perseveration.

The development of theta and alpha neural oscillations from ages 3 to 24 years

Intrinsic, unconstrained neural activity exhibits rich spatial, temporal, and spectral organization that undergoes continuous refinement from childhood through adolescence. The goal of this study was to investigate the development of theta (4−8 Hertz) and alpha (8−12 Hertz) oscillations from early childhood to adulthood (years 3–24), as these oscillations play a fundamental role in cognitive function. We analyzed eyes-open, resting-state EEG data from 96 participants to estimate genuine oscillations separately from the aperiodic (1/f) signal. We examined age-related differences in the aperiodic signal (slope and offset), as well as the peak frequency and power of the dominant posterior oscillation. For the aperiodic signal, we found that both the aperiodic slope and offset decreased with age. For the dominant oscillation, we found that peak frequency, but not power, increased with age. Critically, early childhood (ages 3–7) was characterized by a dominance of theta oscillations in posterior electrodes, whereas peak frequency of the dominant oscillation in the alpha range increased between ages 7 and 24. Furthermore, theta oscillations displayed a topographical transition from dominance in posterior electrodes in early childhood to anterior electrodes in adulthood. Our results provide a quantitative description of the development of theta and alpha oscillations.

First insight into a novel irrigated radiofrequency ablation balloon

Abstract Funding Acknowledgements Type of funding sources: None. Background A novel irrigated RF balloon (RFB) for pulmonary vein isolation (PVI) was recently released in selected centers . It is a 28 mm open irrigated balloon with 10 unipolar electrodes on its surface to deploy a circular ostial lesion set around the PVs. An inner lumen spiral catheter allows for real time PVI visualization during the ablation. Methods Data from consecutive RFB procedures were collected and analysed. After a single transseptal puncture and selective PV angiograms a 3D map of the left atrium was acquired. Sequential PVI was performed using the RFB: each application lasted 60 seconds, the posterior electrodes were identified to stop the energy delivery after 20 seconds. Real time to isolation data were acquired. A 3D bipolar remap was finally performed to observe the level of isolation. A temperature probe was used to monitor the local esophageal temperature (LET) with a cut off of 39°C. Acute procedural data and complication were collected. Endoscopy was scheduled the day after procedure. Results Data from 10 consecutive RFB procedures were analyzed: 6/10 patients were male, 67 ± 9 years old, 8/10 with history of paroxysmal AF. A total of 36 PVs were targeted and isolated with the RFB, with a mean of 7,3 ± 4,0 applications per patient and 2,0 ± 1,2 applications per PV. First pass "single shot" isolation was achieved in 22/36 (61%), time to isolation during the first application was observed in 29/36 (80%) PVs, but an acute reconnection was observed in 10/29 (35%) isolated PVs. Mean time to sustained isolation was 13 ± 5 sec., mean time to non-sustained isolation was significantly longer (29 ± 17 sec; p = 0,001). Procedure time was 57 ± 16 min., left atrial dwell time 50 ± 14 min, ablation phase time 29 ± 14 min and fluoroscopy time was 10 ± 4 minutes. An esophageal temperature above 39°C was recorded in 2/36 PVs. No phrenic nerve palsy was recorded. 7/10 patients underwent endoscopy and no thermal lesions were detected. No other complications were recorded. Conclusion The novel irrigated RFB seems to allow an effective, safe and fast pulmonary vein isolation. More studies are needed to optimize energy dosing to possibly increase the rate of durable single shot PVI.

An event-related brain potential study of auditory attention in cochlear implant users

ObjectiveCochlear implants (CIs) provide access to the auditory world for deaf individuals. We investigated whether CIs enforce attentional alterations of auditory cortical processing in post-lingually deafened CI users compared to normal-hearing (NH) controls. MethodsEvent-related potentials (ERPs) were recorded in 40 post-lingually deafened CI users and in a group of 40 NH controls using an auditory three-stimulus oddball task, which included frequent standard tones (Standards) and infrequent deviant tones (Targets), as well as infrequently occurring unique sounds (Novels). Participants were exposed twice to the three-stimulus oddball task, once under the instruction to ignore the stimuli (ignore condition), and once under the instruction to respond to infrequently occurring deviant tones (attend condition). ResultsThe allocation of attention to auditory oddball stimuli exerted stronger effects on N1 amplitudes at posterior electrodes in response to Standards and to Targets in CI users than in NH controls. Other ERP amplitudes showed similar attentional modulations in both groups (P2 in response to Standards, N2 in response to Targets and Novels, P3 in response to Targets). We also observed a statistical trend for an attenuated attentional modulation of Novelty P3 amplitudes in CI users compared to NH controls. ConclusionsERP correlates of enhanced CI-mediated auditory attention are confined to the latency range of the auditory N1, suggesting that enhanced attentional modulation during auditory stimulus discrimination occurs primarily in associative auditory cortices of CI users. SignificanceThe present ERP data support the hypothesis of attentional alterations of auditory cortical processing in CI users. These findings may be of clinical relevance for the CI rehabilitation.

Behavioral and electrophysiological investigations of effects of temporal regularity on illusory-figure processing

The allocation of limited processing resources at an appropriate timing should be critical for selecting incoming signals. On the other hand, perceptual organization, which relatively automatically integrates fragmentary elements into coherent objects, should also be critical to decrease the processing load. By indexing behavioral measures and event-related potentials (ERPs), this study examined the effects of temporal regularity, which makes it possible to predict the time at which stimuli occur, on task-unrelated early processing of perceptual organization. Twenty-six volunteers participated in a task to discriminate central targets that were simultaneously but infrequently presented inside a Kanizsa-type illusory figure (KF) or a control stimulus (CS) without perception of an illusory figure. Inter-stimulus intervals were fixed or varied in different blocks. Both temporal regularity and the illusory figure accelerated behavioral responses and enlarged negative ERP amplitudes at 120–160 ms and 280–320 ms post-stimulus over posterior electrode sites. However, importantly, there was no evidence indicating that temporal regularity modulates illusory-figure processing. The finding may suggest that temporal expectation operates in parallel with implicit perceptual organization, although further examinations that involve spatial attention or individual differences are required.

EEG Phase-Amplitude Coupling Strength and Phase Preference: Association with Age over the First Three Years after Birth.

Phase-amplitude coupling (PAC), the coupling of the phase of slower electrophysiological oscillations with the amplitude of faster oscillations, is thought to facilitate dynamic integration of neural activity in the brain. Although the brain undergoes dramatic change and development during the first few years of life, how PAC changes through this developmental period has not been extensively studied. Here, we examined PAC through electroencephalography (EEG) data collected during an awake, eyes-open EEG collection paradigm in 98 children between the ages of three months and three years. We employed non-parametric clustering methods to identify areas of significant PAC across a range of frequency pairs and electrode locations, and examined how PAC strength and phase preference develops in these areas. We found that PAC, primarily between the α-β and γ frequencies, was positively correlated with age from early infancy to early childhood (p = 2.035 × 10−6). Additionally, we found γ over anterior electrodes coupled with the rising phase of the α-β waveform, while γ over posterior electrodes coupled with the falling phase of the α-β waveform; this regionalized phase preference became more prominent with age. This opposing trend may reflect each region’s specialization toward feedback or feedforward processing, respectively, suggesting opportunities for back translation in future studies.

Shifted phase of EEG cross-frequency coupling in individuals with Phelan-McDermid syndrome

BackgroundPhelan-McDermid Syndrome (PMS) is a rare condition caused by deletion or mutation of the SHANK3 gene. Individuals with PMS frequently present with intellectual disability, autism spectrum disorder, and other neurodevelopmental challenges. Electroencephalography (EEG) can provide a window into network-level function in PMS.MethodsHere, we analyze EEG data collected across multiple sites in individuals with PMS (n = 26) and typically developing individuals (n = 15). We quantify oscillatory power, alpha-gamma phase-amplitude coupling strength, and phase bias, a measure of the phase of cross frequency coupling thought to reflect the balance of feedforward (bottom-up) and feedback (top-down) activity.ResultsWe find individuals with PMS display increased alpha-gamma phase bias (U = 3.841, p < 0.0005), predominantly over posterior electrodes. Most individuals with PMS demonstrate positive overall phase bias while most typically developing individuals demonstrate negative overall phase bias. Among individuals with PMS, strength of alpha-gamma phase-amplitude coupling was associated with Sameness, Ritualistic, and Compulsive behaviors as measured by the Repetitive Behavior Scales-Revised (Beta = 0.545, p = 0.011).ConclusionsIncreased phase bias suggests potential circuit-level mechanisms underlying phenotype in PMS, offering opportunities for back-translation of findings into animal models and targeting in clinical trials.

Decoding visual colour from scalp electroencephalography measurements

Recent advances have made it possible to decode various aspects of visually presented stimuli from patterns of scalp EEG measurements. As of recently, such multivariate methods have been commonly used to decode visual-spatial features such as location, orientation, or spatial frequency. In the current study, we show that it is also possible to track visual colour processing by using Linear Discriminant Analysis on patterns of EEG activity. Building on other recent demonstrations, we show that colour decoding: (1) reflects sensory qualities (as opposed to, for example, verbal labelling) with a prominent contribution from posterior electrodes contralateral to the stimulus, (2) conforms to a parametric coding space, (3) is possible in multi-item displays, and (4) is comparable in magnitude to the decoding of visual stimulus orientation. Through subsampling our data, we also provide an estimate of the approximate number of trials and participants required for robust decoding. Finally, we show that while colour decoding can be sensitive to subtle differences in luminance, our colour decoding results are primarily driven by measured colour differences between stimuli. Colour decoding opens a relevant new dimension in which to track visual processing using scalp EEG measurements, while bypassing potential confounds associated with decoding approaches that focus on spatial features.

Semantic richness and density effects on language production: Electrophysiological and behavioral evidence.

Language production ultimately aims to convey meaning. Yet words differ widely in the richness and density of their semantic representations, and these differences impact conceptual and lexical processes during speech planning. Here, we replicated the recent finding that semantic richness, measured as the number of associated semantic features according to semantic feature production norms, facilitates object naming. In contrast, intercorrelational semantic feature density, measured as the degree of intercorrelation of a concept's features, presumably resulting in the coactivation of closely related concepts, has an inhibitory influence. We replicated the behavioral effects and investigated their relative time course and electrophysiological correlates. Both the facilitatory effect of high semantic richness and the inhibitory influence of high feature density were reflected in an increased posterior positivity starting at about 250 ms, in line with previous reports of posterior positivities in paradigms employing contextual manipulations to induce semantic interference during language production. Furthermore, amplitudes at the same posterior electrode sites were positively correlated with object naming times between about 230 and 380 ms. The observed effects follow naturally from the assumption of conceptual facilitation and simultaneous lexical competition and are difficult to explain by language production theories dismissing lexical competition. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Takotsubo stress cardiomyopathy following explantation of sEEG electrodes.

ObjectiveTakotsubo stress cardiomyopathy is characterized by dysfunction of the left ventricle of the heart including apical ballooning and focal wall‐motion abnormalities. Although reported in association with seizures and intracerebral hemorrhage, there are no studies reporting its occurrence in patients having stereoelectroencephalography (sEEG).MethodsA 38‐year‐old lady with no prior history of cardiac disease experienced sudden onset chest pain and acute left ventricular failure 4 hours following explantation of stereoelectroencephalogram electrodes.ResultsA small parenchymal hematoma related to the right posterior temporal electrode had been noted postelectrode insertion but was asymptomatic. Focal‐onset seizures from nondominant mesial temporal structures were recorded during sEEG. Following the presentation with LVF, new‐onset anterolateral T‐wave inversion with reciprocal changes in leads II, III, and aVF was noted on electrocardiogram (ECG) and the chest X‐ray findings were consistent with pulmonary edema. Echocardiography demonstrated hypokinesis of the cardiac apex and septum consistent with Takotsubo stress cardiomyopathy.SignificanceAwareness of the possible complication of Takotsubo stress cardiomyopathy is required in an epilepsy surgery program.

EEG coherence during subjectively-rated psychological state variations

BackgroundNeurofeedback training aims to develop awareness and control of psychological states in order to self-regulate brain activity and while used widely therapeutically, important questions remain unanswered. Central to these aims is an assumed association between the live EEG-based feedback and the subjective experience of a psychological state. To date, there is little evidence to support this relationship. Previous studies examining the association between an EEG index and subjective experience have explored only the presence or absence of the state, or merely assumed state variations. The current study aims to examine this association by considering how different levels of a psychological state (i.e., attention) are reflected in EEG coherence. MethodsOur approach aims to allow comparisons of EEG coherence between psychological states (attention vs. rest), and also within subjectively-rated levels of a psychological state (attention) through a purpose-designed questionnaire. Thirty healthy adult participants performed a resting eyes-open (REO) and attention modulation task, while 28 channels of EEG were recorded. Levels within the psychological state were subjectively-attested by participants on a trial-by-trial basis. ResultsThe main analyses examined the effect of subjectively-rated attention levels (SRALs) on EEG coherence, with results suggesting that high and low SRALs may be represented by: 1) different levels of alpha and theta coherence at anterior and posterior electrodes of the frontal lobe bilaterally, and 2) different levels of alpha coherence between central and parietal lobes, also bilaterally. DiscussionThese findings provide partial, preliminary evidence for EEG correlates of SRALs. These findings may have implications for understanding underlying mechanisms of NFT, which is an underdeveloped area.

An electrophysiological biomarker for the classification of cataract-reversal patients: A case-control study.

BackgroundUntreated congenital blindness through cataracts leads to lasting visual brain system changes, including substantial alterations of extrastriate visual areas. Consequently, late-treated individuals (> 5 months of age) with dense congenital bilateral cataracts (CC) exhibit poorer visual function recovery compared to individuals with bilateral developmental cataracts (DC). Reliable methods to differentiate between patients with congenital and developmental cataracts are often lacking, impeding efficient rehabilitation management and introducing confounds in clinical and basic research on recovery prognosis and optimal timing of surgery. A persistent reduction of the P1 wave of visual event-related potentials (VERPs), associated with extrastriate visual cortical activity, has been reported in CC but not in DC individuals. Using two experiments, this study developed and validated P1-based biomarkers for diagnosing a history of congenital blindness in cataract-reversal individuals.MethodsCongenital and developmental cataract-reversal individuals as well as typically sighted matched controls took part in a first experiment used for exploring an electrophysiological biomarker (NCC = 13, NDC = 13, NControl = 26). Circular stimuli containing gratings were presented in one of the visual field quadrants while visual event-related potentials (VERPs) were recorded. Two biomarkers were derived from the P1 wave of the VERP: (1) The mean of the normalized P1 amplitude at posterior electrodes, and (2) a classifier obtained from a linear support vector machine (SVM). A second experiment with partially new CC/DC individuals and their matched controls (NCC = 14, NDC = 15, NControl = 29) was consecutively used to validate the classification based on both biomarkers. Performance of the classifiers were evaluated using receiver operating characteristic (ROC) curve analyses. All cataract-reversal individuals were tested after at least one year of vision recovery.FindingsThe normalized P1 amplitude over posterior electrodes allowed a successful classification of the CC from the DC individuals and typically sighted controls (area under ROC curve, AUC = 0.803 and 0.929 for the normalized P1 amplitude and the SVM-based biomarker, respectively). The validation for both biomarkers in experiment 2 again resulted in a high classification success (AUC = 0.800 and 0.883, respectively for the normalized P1 amplitude and the SVM-based biomarker). In the most conservative scenario involving classification of CC from DC individuals in a group of only cataract-reversal individuals, excluding typically sighted controls, the SVM-based biomarker was found to be superior to the mean P1 amplitude based biomarker (AUC = 0.852 compared to 0.757 for the mean P1 based biomarker in validation). Minimum specificity obtained was 80% across all biomarkers.InterpretationA persistent reduction of the P1 wave provides a highly specific method for classifying cataract patients post-surgically as having suffered from bilateral congenital vs. bilateral developmental cataracts. We suggest that using the P1 based non-invasive electrophysiological biomarker will augment existing clinical classification criteria for individuals with a history of bilateral congenital cataracts, aiding clinical and basic research, recovery prognosis, and rehabilitation efforts.FundingGerman Research Foundation (DFG) and the European Research Council (ERC).

Anticipating words during spoken discourse comprehension: A large-scale, pre-registered replication study using brain potentials

Numerous studies report brain potential evidence for the anticipation of specific words during language comprehension. In the most convincing demonstrations, highly predictable nouns exert an influence on processing even before they appear to a reader or listener, as indicated by the brain's neural response to a prenominal adjective or article when it mismatches the expectations about the upcoming noun. However, recent studies suggest that some well-known demonstrations of prediction may be hard to replicate. This could signal the use of data-contingent analysis, but might also mean that readers and listeners do not always use prediction-relevant information in the way that psycholinguistic theories typically suggest. To shed light on this issue, we performed a close replication of one of the best-cited ERP studies on word anticipation (Van Berkum, Brown, Zwitserlood, Kooijman & Hagoort, 2005; Experiment 1), in which participants listened to Dutch spoken mini-stories. In the original study, the marking of grammatical gender on pre-nominal adjectives (‘groot/grote’) elicited an early positivity when mismatching the gender of an unheard, highly predictable noun, compared to matching gender. The current pre-registered study involved that same manipulation, but used a novel set of materials twice the size of the original set, an increased sample size (N = 187), and Bayesian mixed-effects model analyses that better accounted for known sources of variance than the original. In our study, mismatching gender elicited more negative voltage than matching gender at posterior electrodes. However, this N400-like effect was small in size and lacked support from Bayes Factors. In contrast, we successfully replicated the original's noun effects. While our results yielded some support for prediction, they do not support the Van Berkum et al. effect and highlight the risks associated with commonly employed data-contingent analyses and small sample sizes. Our results also raise the question whether Dutch listeners reliably or consistently use adjectival inflection information to inform their noun predictions.

The response to symmetry in extrastriate areas and its time course are modulated by selective attention

Neurophysiological studies have shown a strong activation in visual areas in response to symmetry. Electrophysiological (EEG) studies, in particular, have confirmed that amplitude at posterior electrodes is more negative for symmetrical compared to asymmetrical patterns. This response is present even when observers perform tasks that do not require processing of symmetry. In this sense the activation is automatic. In this study we test this automaticity more directly by presenting stimuli that contain both symmetry and asymmetry, as overlapping patterns of dots of different colour (black and white). Observers were asked to respond to symmetry in only one of the two colours. If feature-based attention has no role the response should depend on properties of the image. If attention fully filters only the relevant colour the response should depend on properties of the relevant colour only. Neither of these models fully explained the data. We conclude that selective attention does modulate the neural response to symmetry, however we also found a significant contribution from the irrelevant pattern.

Correlation between alpha activity and neuropsychometric tests in Parkinson's disease

Parkinson’s disease (PD) is a neurodegenerative disease that leads to memory impairment and executive and visuospatial dysfunction as the disease progresses. Alpha activity on EEG has been related to cognition in previous studies. We aimed to investigate the correlation between alpha activity and neuropsychometric tests (NPTs) in PD patients. Fifty-five idiopathic PD patients and 20 healthy controls were included. The Standardized Mini-Mental Test (SMMT), Verbal Learning Memory Test (VLMT), Wechsler Memory Scale (WMS), Stroop Color–Word Test, Categorical Verbal Fluency Test (CVFT), Benton’s Face Recognition Test (BFR), and Benton Line Judgment Orientation Test (BLOT) were administered to all participants. Patients were separated into four groups according to NPT results: healthy controls (HC); PD patients with normal cognition (PDNC); PD patients with MCI (PDMCI); and PD patients with dementia (PDD). Analysis of the EEG data showed that HC had the highest alpha activity, and PDD had the lowest. High SMMT scores were correlated with high alpha activity at posterior electrode locations in all PD groups. VLMT and WMS test scores were associated with alpha activity at the parietal sites in PDMCI. VLMT, WMS, and CVFT test scores were correlated with alpha activity at parietooccipital sites in PDD. Verbal and visuospatial memory dysfunction related to low alpha activity was evident in both PDMCI and PDD, whereas executive dysfunction was more strongly associated with low alpha activity in PDD. Analysis of alpha activity could help clinicians predict the progression of cognitive dysfunction in PD patients.

Does Delta Connectivity Differentiate Sleep and Anesthesia?

Does Delta Connectivity Differentiate Sleep and Anesthesia?

Modulation of Individual Alpha Frequency with tACS shifts Time Perception.

Previous studies have linked brain oscillation and timing, with evidence suggesting that alpha oscillations (10 Hz) may serve as a “sample rate” for the visual system. However, direct manipulation of alpha oscillations and time perception has not yet been demonstrated. To test this, we had 18 human subjects perform a time generalization task with visual stimuli. Additionally, we had previously recorded resting-state EEG from each subject and calculated their individual alpha frequency (IAF), estimated as the peak frequency from the mean spectrum over posterior electrodes between 8 and 13 Hz. Participants first learned a standard interval (600 ms) and were then required to judge if a new set of temporal intervals were equal or different compared with that standard. After learning the standard, participants performed this task while receiving occipital transcranial Alternating Current Stimulation (tACS). Crucially, for each subject, tACS was administered at their IAF or at off-peak alpha frequencies (IAF ± 2 Hz). Results demonstrated a linear shift in the psychometric function indicating a modification of perceived duration, such that progressively “faster” alpha stimulation led to longer perceived intervals. These results provide the first evidence that direct manipulations of alpha oscillations can shift perceived time in a manner consistent with a clock speed effect.

The roles of lexical tone and rime during Mandarin sentence comprehension: An event-related potential study

This study used event-related potential (ERP) recording to examine the role of lexical tone and rime in Mandarin Chinese spoken sentence comprehension. A violation paradigm was adopted, such that selected target syllables in the sentences were replaced with tone-violated, rime-violated, or double-violated syllables. Participants judged whether each sentence was congruent. The behavioral results confirmed previous findings: Tone violation was more difficult to detect than rime violation. The ERP results showed that rime and double violations, but not tone violation, elicited a larger N400 than the original condition. Similarly, tone and rime violations elicited a larger P600 than the original condition, and the effect started and ended 50 ms earlier in the tone-violation type. Interestingly, the double-violation type differed significantly from the original type only in the posterior electrodes, suggesting a weaker P600 effect than the tone- and rime-violation types. The differences in ERP effects between rime and tone processing indicate that rime played a more important role in semantic access, while tone played a more important role in error recovery. A model of Chinese speech perception was proposed to accommodate the different roles of lexical tone and rime at different processing stages during sentence comprehension.

Most Effective Pad Placement in Elective Cardioversion.

Most Effective Pad Placement in Elective Cardioversion.

Electrophysiological correlates of the Categorization Working Memory Span task in older adults

Older adults typically show poor performance in tasks assessing working memory (WM), a crucial cognitive mechanism. The present study examined the electrophysiological correlates of a classic complex WM task often used in studies involving older adults, the Categorization Working Memory Span task (CWMS), by means of event-related potentials. Thirty-five healthy, right-handed older adults (64–75 years) were presented the CWMS task while a 38-channel EEG was measured, and the N1, P1, and word recognition potential (RP) were analyzed on four regions of interest (ROIs) of 5 electrodes each. Additionally, late positive components (P200 and P300) were analyzed in midline ROIs of 3 electrodes each. Participants also executed an n-back task (2-back condition) and an objective performance-based task (the Ability to solve Problems in Everyday life [APE]). At a behavioral level, significant correlations were found between the CWMS, the 2-back, and the APE tests. At a physiological level, N1 and word RP showed greater bilateral amplitude in posterior electrodes, but the better the CWMS and the 2-back performance, the greater the RP amplitude on posterior left sites. The CWMS task induced a clear P200 component, but its amplitude was not correlated with participants’ behavioral performance. Altogether, notwithstanding that the bilateral RP pattern elicited by the CWMS is a clear marker of WM processing in older adults, better elderly performers on this complex WM test showed greater left hemisphere dominance to the automatic word RP.