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BD (<jats:italic>n<\/jats:italic> = 27) and unaffected youth at risk (<jats:italic>n<\/jats:italic> = 13) exhibited middle frontal gyrus hypoactivation during successful vs. unsuccessful encoding. Parahippocampal gyrus dysfunction was found in BD and at-risk youth (vs. low-risk, <jats:italic>n<\/jats:italic> = 37). 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