Working memory in ADHD: prefrontal/parietal connections

Curr Drug Targets. 2001 Dec;2(4):347-52. doi: 10.2174/1389450013348155.

Abstract

Current theories of dopaminergic and noradrenergic mechanisms, which are thought to be of importance in the regulation of attention are reviewed. A biphasic model of dopaminergic function is described, in which tonic dopamine exerts a suppressive influence on subcortical dopamine systems by altering tonic/phasic dopaminergic relationships. Noradrenergic mechanisms are of importance in modulating sensory processing at the prefrontal cortical level. The work of Silberstein and colleagues utilizing Steady-State Visually Evoked Potential, during the course of an A-X Continuous Performance Task enables examination of the spatial distribution and dynamics of electrical brain activity during the task. The maintenance of activation in the interval between A and X provides a measure of working memory, thought to be related to prefrontal-parietal activation, which is facilitated by administration of methylphenidate to children with ADHD, suggesting that working memory may be a core deficiency in children with ADHD. While tonic dopamine activity in ventral striatum/accumbens gates inhibitory activity, dorsolateral prefrontal-parietal connections allow maintenance of working memory required for goal completion.

Publication types

  • Review

MeSH terms

  • Animals
  • Attention Deficit Disorder with Hyperactivity / physiopathology*
  • Child
  • Dopamine / physiology
  • Evoked Potentials, Visual
  • Humans
  • Memory / physiology*
  • Neuropsychological Tests
  • Neurotransmitter Agents / physiology
  • Norepinephrine / physiology
  • Parietal Lobe / physiology*
  • Parietal Lobe / physiopathology
  • Prefrontal Cortex / physiology*
  • Prefrontal Cortex / physiopathology
  • Psychomotor Performance
  • Synaptic Transmission / physiology*

Substances

  • Neurotransmitter Agents
  • Dopamine
  • Norepinephrine