Using positron emission tomography, visual presentation of sentences was shown to cause increased regional cerebral blood flow relative to word lists in the left lateral anterior superior and middle temporal gyri, attributable to cognitive processes that occur during sentence comprehension in addition to those carried out during word comprehension. Additional comparisons showed that repeating words (in a different context, when subjects did not attempt to learn the initial lists) led to significant patterns of both increased blood flow (left putamen and right caudate) and decreased blood flow (left posterior temporal lobe). Increases are argued to reflect retrieval of memory traces, whereas decreases reflect diminished necessity for processing of input. A decrease in the left inferior parietal lobe was attributable to other factors.

In two experiments, event-related brain potentials were recorded to word pairs simultaneously presented to both ears, with instructions to attend to one ear and detect occasional nonwords in that ear. This attentional manipulation yielded four patterns of word repetition on successive trials: first and second presentations attended (AA), both unattended (UU), and across ears (AU and UA). A prominent attenuation of N400 due to immediate repetition of words was observed on AA trials. However, when first presentations were ignored on UU and UA trials, no repetition effect was obtained. These findings indicate that the repetition effect on N400 depends on attentional processing of first presentations.