Anatomical and physiological organization of the non-primary motor cortex

The role of the cerebellum in adaptation: ALE meta-analyses on sensory feedback error

It is widely accepted that unexpected sensory consequences of self‐action engage the cerebellum. However, we currently lack consensus on where in the cerebellum, we find fine‐grained differentiation to unexpected sensory feedback. This may result from methodological diversity in task‐based human neuroimaging studies that experimentally alter the quality of self‐generated sensory feedback. We gathered existing studies that manipulated sensory feedback using a variety of methodological approaches and performed activation likelihood estimation (ALE) meta‐analyses. Only half of these studies reported cerebellar activation with considerable variation in spatial location. Consequently, ALE analyses did not reveal significantly increased likelihood of activation in the cerebellum despite the broad scientific consensus of the cerebellum's involvement. In light of the high degree of methodological variability in published studies, we tested for statistical dependence between methodological factors that varied across the published studies. Experiments that elicited an adaptive response to continuously altered sensory feedback more frequently reported activation in the cerebellum than those experiments that did not induce adaptation. These findings may explain the surprisingly low rate of significant cerebellar activation across brain imaging studies investigating unexpected sensory feedback. Furthermore, limitations of functional magnetic resonance imaging to probe the cerebellum could play a role as climbing fiber activity associated with feedback error processing may not be captured by it. We provide methodological recommendations that may guide future studies.

Timing functions of the supplementary motor area: an event-related fMRI study

Two previous studies in which we recorded slow brain potential shifts over the scalp revealed performance-dependent effects that sustained one prominent model of timing mechanisms. These effects seemed to be derived from the supplementary motor area (SMA). Event-related functional magnetic resonance imagery (fMRI) was used to check this hypothesis. Brain activations were contrasted in Time production and (control) Force production tasks involving left-hand responding. These tasks, presented in mixed order, were designed to be of equivalent difficulty and involve comparable levels of attention. Several brain areas were activated in both tasks relative to baseline: the SMA, the putamen, and the lateral cerebellum. Contrasts between tasks gave clear-cut differences. Activations specific to the Time task were found in the SMA proper and the left primary motor cortex. The Force task activated the right sensorimotor cortex and the left cerebellum, and, bilaterally, the infero-parietal cortex and the insula. The main result, i.e. prominent activation of the SMA proper in relation to temporal production, corroborates our previous studies based on slow cortical potentials. The data are referred to current evidence suggesting that timing processes are subtended by a striato-thalamo-cortical pathway including the SMA.

Effects of age and speed of processing on rCBF correlates of syntactic processing in sentence comprehension

Positron emission tomography (PET) was used to determine the effect of age on regional cerebral blood flow (rCBF) during syntactic processing in sentence comprehension. PET activity associated with making plausibility judgments about syntactically more complex subject object (SO) sentences (e.g., The juice that the child spilled stained the rug) was compared to that associated with making judgments about synonymous syntactically simpler object subject (OS) sentences (e.g., The child spilled the juice that stained the rug). In the first study, 13 elderly (70-80-year-old) subjects showed increased rCBF in the left inferior parietal lobe. This result contrasted with previous studies, which have shown activation in Broca's area in this task in young subjects. Elderly subjects were noted to have longer reaction times than young subjects previously tested. A second study found that young subjects whose reaction times were as long as those of the elderly subjects tested in Experiment 1 activated left superior parietal, and not left inferior frontal, structures. A third experiment found that elderly subjects with reaction times as fast as previously tested young subjects activated left inferior frontal structures. The results suggest that the speed of syntactic processing, but not age per se is related to the neural location where one aspect of syntactic processing is carried out.

Self-paced versus metronome-paced finger movements. A positron emission tomography study

To evaluate the hypothesis that self-paced movements are mediated primarily by the supplementary motor area, whereas externally triggered movements are mainly affected by the lateral premotor cortex, different movements in 6 healthy volunteers were studied while changes in regional cerebral blood flow (rCBF) were measured using positron emission tomography (PET) and 15O-labeled water. Subjects made a series of finger opposition movements initiated in a self-paced manner every 4 to 6 seconds, and separately, made continuous finger opposition movements at a frequency of 2 Hz paced by a metronome. The primary motor cortex, lateral area 6, cerebellum on both sides, and caudal cingulate motor area, and the putamen and thalamus on the contralateral side were more active during the metronome-paced movements. The increases in rCBF in these areas are likely the result of the larger number of movements per minute made with the externally triggered task. The anterior supplementary motor area and rostral cingulate motor area in the midline, prefrontal cortices bilaterally, and lobus parietalis inferior on the ipsilateral side were more active during the self-paced movements. Increases in rCBF in those areas, which include medial premotor structures, may be related to the increased time devoted to planning the movement in this condition.

Toward an agreement on terminology of nuclear and subnuclear divisions of the motor thalamus

The nomenclature most commonly applied to the motor-related nuclei of the human thalamus differs substantially from that applied to the thalamus of other primates, from which most knowledge of input-output connections is derived. Knowledge of these connections in the human is a prerequisite for stereotactic neurosurgical approaches designed to alleviate movement disorders by the placement of lesions in specific nuclei. Transfer to humans of connectional information derived from experimental studies in nonhuman primates requires agreement about the equivalence of nuclei in the different species, and dialogue between experimentalists and neurosurgeons would be facilitated by the use of a common nomenclature. In this review, the authors compare the different nomenclatures and review the cyto- and chemoarchitecture of the nuclei in the anterolateral aspect of the ventral nuclear mass in humans and monkeys, suggest which nuclei are equivalent, and propose a common terminology. On this basis, it is possible to identify the nuclei of the human motor thalamus that transfer information from the substantia nigra, globus pallidus, cerebellum, and proprioceptive components of the medial lemniscus to prefrontal, premotor, motor, and somatosensory areas of the cerebral cortex. It also becomes possible to suggest the principal functional systems involved in stereotactically guided thalamotomies and the functional basis of the symptoms observed following ischemic lesions in different parts of the human thalamus.

Cerebellar somatotopic representation and cerebro-cerebellar interconnections in ataxic patients

Different methods of functional neuroimaging were used for studying somatotopic encoding of function in the cerebellum and for investigating cerebro-cerebellar interconnections in patients with cerebellar degeneration. fMRI showed, that the center of activation for hand function was located in the intermediate hemispheric portion of Larsell lobules H IV-V. Foot movements activated areas medial and anterior to the corresponding hand areas within Larsell lobules II-III. Changed function in motor cortices could be demonstrated in patients with cerebellar degeneration as compared to normal controls by recording movement-related cortical potentials (BP). In patients the motor potential was almost lacking and transcranial magnetic stimulation demonstrated enhancement of inhibitory mechanisms (prolonged postexcitatory inhibition) in the motor cortex. PET-findings suggested, that both effects are correlated to increased activity of inhibitory interneurons. Cerebellar patients showed increased activation in relation to movements in the SMA and basal ganglia and reduced activation in the cerebellum and lateral premotor areas. It could be speculated, that compensatory mechanisms are the reason for a stronger activation of the medial premotor system, including SMA, in patients with cerebellar degeneration. On the basis of our results it appears, that the cerebellum facilitates the lateral premotor system areas much more than it does the medial areas.

Toward an agreement on terminology of nuclear and subnuclear divisions of the motor thalamus

The nomenclature most commonly applied to the motor-related nuclei of the human thalamus differs substantially from that applied to the thalamus of other primates, from which most knowledge of input-output connections is derived. Knowledge of these connections in the human is a prerequisite for stereotactic neurosurgical approaches designed to alleviate movement disorders by the placement of lesions in specific nuclei. Transfer to humans of connectional information derived from experimental studies in nonhuman primates requires agreement about the equivalence of nuclei in the different species, and dialogue between experimentalists and neurosurgeons would be facilitated by the use of a common nomenclature. In this review, the authors compare the different nomenclatures and review the cyto- and chemoarchitecture of the nuclei in the anterolateral aspect of the ventral nuclear mass in humans and monkeys, suggest which nuclei are equivalent, and propose a common terminology. On this basis, it is possible to identify the nuclei of the human motor thalamus that transfer information from the substantia nigra, globus pallidus, cerebellum, and proprioceptive components of the medial lemniscus to prefrontal, premotor, motor, and somatosensory areas of the cerebral cortex. It also becomes possible to suggest the principal functional systems involved in stereotactically guided thalamotomies and the functional basis of the symptoms observed following ischemic lesions in different parts of the human thalamus.

Model-based diagnosis of brain disorders: a prototype framework

This paper describes a prototype framework, named NEUROLAB, dedicated to research and diagnosis in the area of brain disorders. The diagnostic task uses a blending of factual knowledge, formal knowledge, and experiential knowledge. The prototype's first target clinical application is partial seizures in epilepsy. Diagnosis is carried out using qualitative electroencephalographic descriptions, clinical attack pattern descriptions, and pre- and post-ictal observations. From this information, the system builds explanations in the form of candidate epileptogenic foci and trajectories of the seizure spread. Hypothesis-testing and discrimination is based on minimal set coverage, and consistency-checking is performed using the general background knowledge. Upon completion, NEUROLAB will provide specific physiological knowledge for solving the so-called inverse problems in electroencephalography (EEG) and magnetoencephalography (MEG).

Movement-related cortical potentials preceding sequential and goal-directed finger and arm movements in patients with cerebellar atrophy

To determine the influence of cerebellar involvement on the preparatory state of the cerebral cortex for voluntary movements, we studied the movement-related cortical potentials (Bereitschaftspotential, BP) preceding sequential and goal-directed finger and arm movements in patients with cerebellar atrophy (CA). The first task (paradigm 1) consisted of a sequential finger movement at a self-paced rate of every 3 sec or longer, in which patients and control subjects pushed rapidly 7 keys on a keyboard in a sequence visually predetermined on a screen. The second task (paradigm 2) consisted of a goal-directed self-paced movement with visual feedback on a screen. In both paradigms, control subjects and patients had distinct movement-related cortical potentials, but peak amplitudes (close to movement onset) were reduced in the patient group (paradigm 2), whereas in the overall analysis the mean amplitude 600-800 msec before movement onset (NS1) was larger in the patient group (paradigms 1 and 2). Accordingly, the difference (NS2) between peak amplitude and NS1 was smaller in the patient group (paradigms 1 and 2). Whereas control subjects' peak amplitude (paradigm 2) and NS2 (paradigm 1) were focused at Cz, this topographical differentiation was abolished in the patient group. The onset of the BP was earlier in the patients than in the control subjects (paradigms 1 and 2). Our results suggest that pathways from the cerebellum to the cortex do play a role in generating movement-related cortical potentials. A strong input from the cerebellum seems to be crucial for the generation of a normal motor potential close to the movement onset, reflecting a specific deficit in patients with CA. Patients with CA may try to compensate for their motor deficits by a longer cortical activation preceding voluntary movements (earlier onset of the BP). The increased NS1 could be the result of larger effort, by which patients try to compensate for their motor deficits as well.

Electrophysiology of bimanual-bipedal automatisms

To determine the localizing value and electrophysiology of bimanual-bipedal automatisms (BBAs), we studied these behaviors in 54 seizures of 8 patients with temporal or frontal lobe seizure onset. BBAs occurred with a frequency of 27% in frontal lobe epilepsy (FLE) and of 7% in temporal lobe epilepsy (TLE). The distribution of electrode sites showing ictal activity during these automatisms was significantly different in the two patient groups (0.0001 Chi-square). Mesio- and/or laterotemporal plus orbital frontal areas were involved areas when the behaviors appeared in patients with TLE; dorsolateral and mesiofrontal regions were the most commonly involved when the behaviors occurred during the course of frontal lobe seizures. We concluded that BBAs represent activation of frontal lobe circuitry but are not unique to seizures of frontal lobe origin. Eyelid flutter and repetitive body movements in either the axial or sagittal plane were significantly associated with the frontal lobe group whereas oral-alimentary automatisms were associated with the temporal lobe group. Thus, these associated behaviors may help indicate whether a frontal or temporal lobe seizure onset has occurred when BBAs are observed. A new concept of ictal expression is proposed to conform with the results as well as with other apparently disparate ictal behaviors that may have localizing value.

Distance- and error-related discharge of cells in premotor cortex of rhesus monkeys

Previous work on the premotor cortex has emphasized its role in preparation for movement. In this study, we concentrated on the activity that occurs during a movement, particularly when the required movement amplitude is unexpectedly changed by introduction of a visuo-spatial error. In two rhesus monkeys, discharge of premotor neurons was recorded during a multi-joint reaching movement. Units could be divided into two categories: (1) those whose discharge monotonically increased or decreased with movement amplitude; and (2) those whose discharge was modulated with the unexpected change in amplitude but not monotonically. We suggest that the latter class of cells may be detecting or responding to a visuo-motor error. Thus, the premotor cortex is not only involved in preparation but plays a role in the ongoing control of movement execution.

Human Cerebral Cortex: Localization, Parcellation, and Morphometry with Magnetic Resonance Imaging

We describe a system of parcellation of the human brain that is based on the functional anatomy of the cerebral cortex and that is applied to the analysis of magnetic resonance images. This system is designed to support investigations of hemispheric asymmetries and quantitative lesion localization studies in cognitive neuroscience. The system of cortical subdivision is a neural systems oriented model that approximates subdivisions supported by previous architectonic and functional analyses. It is based primarily on boundaries determined by "limiting fissures." It is completed by a set of coronal planes, keyed to visible anatomic landmarks, which "close" the borders of the parcellation subdivisions. The method depends on computational reconstruction of the primary image data in multiple planes so as to allow the observed pattern of limiting fissures in a given brain to be digitized. In this presentation, the method is applied in order to define the surface anatomy of the cerebral hemispheres in a normal subject. Volumetric measurements of individual cortical regions are compared as hemispheric percentiles to areal perceniiles derived from the analysis of Jouandet et al. (1989), a conceptually related though methodologically different approach. We specifically address the approach to the study of interhemispheric differences and interindividual variations in cortical anatomy.

Event-related neuronal responses in the human strio-pallido-thalamic system. I. Sensory and motor functions

Multiunit activity was recorded from strio-pallido-thalamic sites in parkinsonian patients bearing gold electrodes for diagnosis and therapy. The patients voluntarily participated in tasks designed to study neuronal correlates of both physical and semantic characteristics of stimuli as well as motor responses. Six modifications of the stimulus-response paradigm were used: visual odd-ball, visual and acoustic odd-ball tasks; tasks in which either the stimulus intensity or the meaning of non-target stimuli varied; single-stage delayed response and dual-stage delayed response tasks, respectively. In each task the patients had to evaluate some of the stimulus characteristics and to respond in a particular way according to the preliminary instructions. Peristimulus time histograms for each multiunit separately as well as profiles of reactions and profiles of reaction differences for the whole set of multiunits were calculated and subjected to statistical analysis. Two functional groups of subcortical neuronal reactions, stimulus-related and response-related activities, were separated. The stimulus-related activities of most multiunits were modality-unspecific. Their most striking feature was dependence on stimulus relevance and also its probability, the strongest reactions observed in response to task relevant stimuli occurring with low probability. The response-related activities occurred prior to initiation of movements, dependent upon the particular action and its probability. The data suggest at least two different and spatially overlapping subcortical channels responsible for goal-directed behaviour: the one related to stimulus assessment and the other to preparation for motor action.

Changes associated with the organization of motor acts in the on-going frequency of the discharges of neurons of subcortical structures of the human brain

The impulse activity of subcortical structures was recorded in 16 parkinsonian patients (six women) using deep electrodes implanted in the strio-pallido-thalamic system on the basis of treatment and diagnostic indications. The patients voluntarily participated in four psychological tests. Two groups of pallidal and thalamic neuronal populations (neuronal populations associated with the response and associated with the stimulus, containing 25% each out of the total number of neuronal populations recorded) were classified on the basis of evoked changes in on-going frequency in the motoric version of the odd ball test. Some of the neuronal populations associated with the response reacted primarily during counting, some during the naming of the stimulus, and some during button pressing.

Preliminary study on subcortical slow potentials related to the readiness potential in monkey

Two female rhesus monkeys with cortical and subcortical DC-electrodes were studied during self-paced operant responding to determine the feasibility of mapping the intracerebral distribution of readiness potentials (RP). These potentials reflect preparatory aspects of motor activation and may be useful indicators of subcortical areas involved in preparatory set. The monkeys had learned to execute the task appropriately after 17 and 28 sessions respectively; one monkey's performance was very stable, and the other's erratic. However, relatively comparable RPs were recorded from the monkeys when recordings from sessions involving good performance were considered. RPs of relatively large amplitude appeared in electrodes positioned near the substantia nigra and pretectal/collicular region; smaller responses were observed in cortex and midbrain reticulum and, in one monkey, the caudate nucleus. These findings indicate the feasibility of such studies and suggest that, like the contingent negative variation, RPs occur in many subcortical regions.

Motor set in Parkinson's disease

Three experiments employing a five-choice button-pressing task tested the ability of Parkinsonian patients to learn and generate sequences of movement, and to switch between alternative sequences at will. It was found that patients could learn and generate individual patterns of movement normally, even complex ones involving an incompatible stimulus-response relationship. They had difficulty, however, in maintaining a sequence if two different ones had been learnt and subjects were required to switch spontaneously from one to the other within a trial. Providing external cues at the start of each sequence to guide the ordering of movements improved the stability of patients' performance. Most errors in sequencing consisted of reverting to the alternative pattern of movement. Parkinsonian subjects thus show an impairment in motor set similar to that found previously in cognitive activity.

Neuronal activity during spontaneous walking--I. Starting and stopping

1. The spontaneous release of walking in the locust is preceded by a preparatory phase consisting of "intentional" movements. This phase is absent when walking is evoked by sensory stimuli. 2. Some brain and suboesophageal (SOG) descending interneurons (DINs) become active before the preparatory phase. 3. During and after the preparatory phase new DINs are recruited predominantly from the SOG. 4. A large variety of activity patterns was recorded during spontaneous starts. These activity patterns are absent when walking is evoked by sensory stimulation. 5. Similarly complex and long lasting patterns were recorded during spontaneous stopping. 6. The data lead to refinement of the consensus model.

Non-invasive evaluation of input-output characteristics of sensorimotor cerebral areas in healthy humans

The topography of scalp SEPs to mixed and sensory median nerve (MN) and to musculocutaneous nerve stimulation was examined in 20 healthy subjects through multichannel (12-36) recording in a 50 msec post-stimulus epoch. MN-SEPs in both frontal leads were characterized by an N18, P20, N24, P28 complex showing maximal amplitude at contralateral parasagittal sites. This was sometimes partly obscured by a wide wave N30 having a fixed latency, but a steep amplitude gradient moving toward the scalp vertex. A P40 component followed, having longer peak latencies, moving the recording sites from contralateral medial parietal toward the vertex and frontal ipsilateral positions. MN-SEPs in contralateral parietal leads contained a widespread N20 with a maximum source posterior to the Cz-ear line. The following P25 enveloped two subcomponents - early and late P25 - having different distributions. The late P25 showed a maximum - coincident with that of wave N20 - which was localized more posteriorly than that of the early P25. An inconstant wave N33 with progressively longer peak latencies from sagittal toward lateral positions was then recorded. MN-SEPs in contralateral central positions showed a well-localized P22 wave in which both the parietal early P25 and the frontal P20 were vanishing. Common or separate generators for frontal, central and parietal SEPs were discriminated by evaluating the influence of stimulus rate and intensity, as well as of general anesthesia and transient CBF deficits, investigated in 7 patients undergoing carotid endarterectomy. Unifocal anodal threshold shocks were separately delivered to each of the scalp electrodes and motor action potentials were recorded from the target muscle in order to delineate the scalp representation of the motor strip for the upper limb and, consequently, to monitor, through SEP tracings, the short-latency sensory input to the motor cortex for hand and shoulder muscles. This was characterized by a boundary zone separating the parietal N20-early P25 complex, from the fronto-central N18-P22 one. This zone had an oblique direction strongly resembling that of the central sulcus.