The posterior parietal paradox: Why do functional magnetic resonance imaging and lesion studies on episodic memory produce conflicting results?
Version of Record online: 2 MAR 2011
©2010 The British Psychological Society
Journal of Neuropsychology
Volume 5, Issue 1, pages 15–38, March 2011
How to Cite
Schoo, L. A., van Zandvoort, M. J. E., Biessels, G. J., Kappelle, L. J., Postma, A. and de Haan, E. H. F. (2011), The posterior parietal paradox: Why do functional magnetic resonance imaging and lesion studies on episodic memory produce conflicting results?. Journal of Neuropsychology, 5: 15–38. doi: 10.1348/174866410X504059
- Issue online: 2 MAR 2011
- Version of Record online: 2 MAR 2011
- Received 21 July 2009; revised version received 26 March 2010
Recent functional magnetic resonance imaging (fMRI) studies addressing healthy subjects point towards posterior parietal cortex (PPC) involvement in episodic memory tasks. This is noteworthy, since neuropsychological studies usually do not connect parietal lesions to episodic memory impairments. Therefore an inventory of the possible factors behind this apparent paradox is warranted. This review compared fMRI studies which demonstrated PPC activity in episodic memory tasks, with findings with studies of patients with PPC lesions. A systematic evaluation of possible explanations for the posterior parietal paradox indicates that PPC activation in fMRI studies does not appear to be attributable to confounding cognitive/psychomotor processes, such as button pressing or stimulus processing. What may be of more importance is the extent to which an episodic memory task loads on three closely related cognitive processes: effort and attention, self-related activity, and scene and image construction. We discuss to what extent these cognitive processes can account for the paradox between lesion and fMRI results. They are strongly intertwined with the episodic memory and may critically determine in how far the PPC plays a role in a given memory task. Future patient studies might profit from specifically taking these cognitive factors into consideration in the task design.