Working memory is a fundamental cognitive building block, involved in
the short-term maintenance and transformation of information. In neuro
psychological studies, working memory has been shown to be of limited
capacity; however, the neurophysiological concomitants of this capacit
y limitation have not been explored. In this study we used the [O-15]w
ater PET rCBF technique and statistical parametric mapping to examine
normal subjects while they performed two cognitive basks, both individ
ually and simultaneously, One task was the Wisconsin Card Sorting Test
, a complex reasoning task involving working memory, and the other was
a rapidly paced auditory verbal shadowing task. When both tasks were
performed simultaneously, there were significant decrements in perform
ance compared with the individual task performance scores, indicating
that cognitive workload had been increased. Analysis of the rCBF maps
showed that when the two tasks were performed together, in contrast to
when they were performed separately, there was less prefrontal activa
tion. These results suggest that increases in cognitive workload do no
t necessarily recruit and then sustain cortical neurophysiological res
ources to a maximum, but rather may actually be accompanied by a dimin
ution in cortical activity. (C) 1998 Academic Press.