Aron et al have now shown that the ability to stop motor reponses may involve a "hyperdirect" pathway between the right inferior frontal cortex and the basal ganglia (PDF of article here). Here is their abstract, followed by a figure from the paper:
The ability to stop motor responses depends critically on the right inferior frontal cortex (IFC) and also engages a midbrain region consistent with the subthalamic nucleus (STN). Here we used diffusion-weighted imaging (DWI) tractography to show that the IFC and the STN region are connected via a white matter tract, which could underlie a "hyperdirect" pathway for basal ganglia control. Using a novel method of "triangulation" analysis of tractography data, we also found that both the IFC and the STN region are connected with the presupplementary motor area (preSMA). We hypothesized that the preSMA could play a conflict detection/resolution role within a network between the preSMA, the IFC, and the STN region. A second experiment tested this idea with functional magnetic resonance imaging (fMRI) using a conditional stop-signal paradigm, enabling examination of behavioral and neural signatures of conflict-induced slowing. The preSMA, IFC, and STN region were significantly activated the greater the conflict-induced slowing. Activation corresponded strongly with spatial foci predicted by the DWI tract analysis, as well as with foci activated by complete response inhibition. The results illustrate how tractography can reveal connections that are verifiable with fMRI. The results also demonstrate a three-way functional–anatomical network in the right hemisphere that could either brake or completely stop responses.
Figure. Diffusion-weighted tractography results. A, 3-D rendering of the tracts between the right IFC, the right preSMA, and the right STN region. B, Triangulation method for determining the third point in a network from the other two. Tracts originating in one brain area are overlaid on tracts originating from another. The overlap is superimposed on a gray matter mask in standard space. Tracts clearly overlap in the white matter space, but the overlap in gray matter is fairly unique: the preSMA only for tracts originating in the IFC and STN regions; the IFC and anterior prefrontal cortex (not shown) for tracts originating in the preSMA and the STN region and the thalamus only for tracts originating in the preSMA and the IFC.
In the passed days, at the Medical Faculty of the University of SAzeged(in), Southern Hungary a bravourous operation on a young epileptic woman with tumor has been performed in her conscious state.ReplyDelete
I - M.D. (Psychiatrist) - have suffered from a hypertonus-based thalamus haemorrhagia of nut dimension 8 years ago. I have o major mobility and force damage but a middle strength causalgia against that I do not take medicine as I fear inaptitude to drive a car. Now, I have read in a expensive manual on neurosurgery that causalgiae - if insupportable - may be even operated. (I suppose by costs of a definitive paralysis that are much more negative.) But modern tractography may exclude that. - Who knows something about modern treatment of my trouble? Thanks a lot!
Dr. med. Zoltan George MAYER