Impaired visual working memory and reduced connectivity in undergraduates with a history of mild traumatic brain injury
Open accessAbstract
Mild traumatic brain injury (mTBI), or concussion, accounts for 85% of all TBIs. Yet survivors anticipate full cognitive recovery within several months of injury, if not sooner, dependent upon the specific outcome/measure. Recovery is variable and deficits in executive function, e.g., working memory (WM) can persist years post-mTBI. We tested whether cognitive deficits persist in otherwise healthy undergraduates, as a conservative indicator for mTBI survivors at large. We collected WM performance (change detection, n-back tasks) using various stimuli (shapes, locations, letters; aurally presented numbers and letters), and wide-ranging cognitive assessments (e.g., RBANS). We replicated the observation of a general visual WM deficit, with preserved auditory WM. Surprisingly, visual WM deficits were equivalent in participants with a history of mTBI (mean 4.3 years post-injury) and in undergraduates with recent sports-related mTBI (mean 17 days post-injury). In seeking the underlying mechanism of these behavioral deficits, we collected resting state fMRI (rsfMRI) and EEG (rsEEG). RsfMRI revealed significantly reduced connectivity within WM-relevant networks (default mode, central executive, dorsal attention, salience), whereas rsEEG identified no differences (modularity, global efficiency, local efficiency). In summary, otherwise healthy current undergraduates with a history of mTBI present behavioral deficits with evidence of persistent disconnection long after full recovery is expected.
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The N-back and Trail Making Test are sensitive to mTBI.
“these tests involve DLPFC (Owen et al. 2005, Zakzanis et al. 2005) and are sensitive to mTBI (Arciniega et al. 2021, Li et al. 2023).”
From Mild traumatic brain injury alters function in the dorsolateral prefrontal cortex: a TMS-EEG study (2025) · cites this paper as Arciniega et al. 2021
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Mild traumatic brain injury alters function in the dorsolateral prefrontal cortex: a TMS-EEG study
Moore, E., Webb, E., Sasaki, R., Rogasch, N. C., Foo, N., Semmler, J. G., & Opie, G. M. (2025) · doi:10.1101/2025.05.22.655676 · Cited by 3 · see citing works
“…how neurophysiological effects of injury relate to functional deficits, performance on the N-back and Trail Making Test was also related to TMS-EEG measures; these tests involve DLPFC (Owen et al. 2005, Zakzanis et al. 2005) and are sensitive to mTBI (Arciniega et al. 2021, Li et al. 2023).”
- Authors
- Arciniega, H., Shires, J., Furlong, S., Kilgore-Gomez, A., Cerreta, A., Murray, N. G., & Berryhill, M. E.
- Affiliations
- Brigham and Women's Hospital (US)
- University of Nevada, Reno (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Arciniega, Hector
- ORCID
- Venue
- Scientific Reports
- Published
- 2021-02-02
- Volume
- 11
- Issue
- 1
- Pages
- 2789-2789
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7854733
- OpenAlex
- W3128692742
- Cited by
- 33
- References
- 6
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 2
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Science Foundation (OIA 1632849)
- Tahoe Institute for Rural Health Research
- National Institute of Neurological Disorders and Stroke (F99 NS113419)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- mild traumatic brain injury, concussion, visual working memory, sports-related concussion, resting-state functional connectivity, resting-state EEG, default mode network, frontoparietal network, dorsal attention network, salience network, auditory working memory, long-term recovery
- MeSH terms
- Adolescent, Adult, Brain Concussion, Cognition Disorders, Female, Humans, Male, Memory Disorders, Memory, Short-Term, Students, Young Adult, Cognitive Dysfunction
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