RT Journal Article SR Electronic T1 Sustained Neural Activity Patterns during Working Memory in the Human Medial Temporal Lobe JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 7807 OP 7816 DO 10.1523/JNEUROSCI.0962-07.2007 VO 27 IS 29 A1 Axmacher, Nikolai A1 Mormann, Florian A1 Fernández, Guillén A1 Cohen, Michael X A1 Elger, Christian E. A1 Fell, Juergen YR 2007 UL http://www.jneurosci.org/content/27/29/7807.abstract AB In contrast to classical findings that the medial temporal lobe (MTL) specifically underlies long-term memory, previous data suggest that MTL structures may also contribute to working memory (WM). However, the neural mechanisms by which the MTL supports WM have remained unknown. Here, we exploit intracranial EEG to identify WM-specific sustained activity patterns with the highest temporal and spatial resolution currently available in humans. Using a serial Sternberg paradigm, we found a positive shift of the direct current (DC) potential and a long-lasting decrease in MTL gamma-band activity during maintenance of a single item, reflective of a sustained reduction in neural activity. Maintenance of an increasing number of items elicited an incrementally negative shift of the DC potential and an increase in MTL gamma-band activity. In addition, the paradigm was conducted in healthy control subjects using functional magnetic resonance imaging. This confirmed that our results were not caused by pathological processes within the MTL, and that this region was indeed specifically activated during the task. Our results thus provide direct evidence for sustained neural activity patterns during working memory maintenance in the MTL, and show that these patterns depend on WM load.