Mapping of cingulate motor function by cortical stimulation

Epileptic Disord. 2013 Sep;15(3):333-7. doi: 10.1684/epd.2013.0595.

Abstract

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 preoperative MRI and post-electrode implantation CAT 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. [Published with video sequences].

Publication types

  • Case Reports

MeSH terms

  • Brain Mapping
  • Cerebral Cortex / physiology*
  • Child
  • Deep Brain Stimulation
  • Electric Stimulation
  • Electrodes, Implanted
  • Electroencephalography
  • Epilepsy, Frontal Lobe / physiopathology
  • Epilepsy, Frontal Lobe / therapy
  • Gyrus Cinguli / physiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Movement / physiology*
  • Tomography, X-Ray Computed