Mapping of cingulate motor function by cortical stimulation

• Published in: Epileptic disorders Vol. 15; no. 3; pp. 333 - 337
• Main Authors: Basha, Maysaa M., Fernández-Baca Vaca, Guadalupe, Lüders, Hans O.
• Format: Journal Article
• Language: English
• Published: Paris Springer Paris 01.09.2013; Libbey Eurotext; Wiley Subscription Services, Inc
• Subjects: Biological and medical sciences; Brain Mapping; Cerebral Cortex - physiology; Child; Clinical Commentary with Video Sequences; Clinical trial. Drug monitoring; Cortex (cingulate); Deep Brain Stimulation; Elbow; Electric Stimulation; Electrical stimuli; Electrodes; Electrodes, Implanted; Electroencephalography; Epilepsy; Epilepsy, Frontal Lobe - physiopathology; Epilepsy, Frontal Lobe - therapy; General pharmacology; Gyrus Cinguli - physiology; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy; Humans; Magnetic Resonance Imaging; Male; Medical sciences; Medicine; Medicine & Public Health; Movement - physiology; Nervous system (semeiology, syndromes); Neurobiology; Neurology; Neuropsychology; Neuroradiology; Pharmacology. Drug treatments; Tomography, X-Ray Computed; Wrist; epilepsy monitoring; intracranial electrode; cortical motor function; functional mapping; Electrodes; Cartography; Intracranial; Nervous system diseases; Epilepsy; Central nervous system disease; Monitoring; Cerebral disorder
• ISSN: 1950-6945; 1294-9361; 1950-6945
• DOI: 10.1684/epd.2013.0595

An 8-year-old boy with intractable left mesiofrontal lobe epilepsy underwent placement of stereotactic intracerebral depth electrodes to better localise the epileptogenic zone. Co-registration of preoperativeMRIand post-electrode implantationCAT allowed for anatomical localisation of electrode contacts. Electrical stimulation of electrodes over the dorsal and ventral banks of the cingulate cortex on the left produced right foot dorsiflexion and right wrist and elbow flexion, respectively, demonstrating detailed representation of cingulate motor function in humans, somatotopically distributed along the banks of the cingulate sulcus, as seen in the non-human primate.