| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
*Deceased.
From the Departments of Neurosurgery (Drs Nii and Uematsu) and Neurology (Drs Lesser and Gordon) The Johns Hopkins University School of Medicine, The Zanvyl Krieger Mind/Brain Institute (Drs Lesser and Gordon), The Johns Hopkins University, Baltimore, MD, and the Department of Neurosurgery (Dr Nii), Osaka University Medical School Osaka Japan
Supported by the Tanaka Memorial Scholarship Fund provided by Mary Lorenc (Mrs Tanaka), the National Institutes of Health (Grant No 1 RO1 NS26553 from the National Institute of Neurological Disorders and Stroke), the Whittier Foundation, the Seaver Foundation, and the McDonnel-Pew Program in Cognitive Neuroscience
Received March 14, 1995 Accepted in final form June 8, 1995
Address correspondence and reprint requests to Dr Ronald P Lesser, Department of Neurology, Meyer 2-147, Johns Hopkins Medical Institutions 600 North Wolfe Street, Baltimore, Maryland, 21287-7247
To clarify the exact anatomic relationship of electrically identified hand areas to the central sulcus, we constructed cortical surface renderings of magnetic resonance images (MRI) to locate the central sulcus accurately and measured the distances of stimulated points from, the central sulcus and the Sylvian fissure.We obtained hand responses in 33 patients who underwent implantation of subdural grid electrodes for evaluation and surgical treatment of intractable epilepsy and analyzed these responses according to the presence of motor, sensory, mixed motor and sensory, and arrest responses. Hand motor responses occurred not only in the precentral gyrus but also in the postcentral gyrus, with great variability in superior-to-inferior distribution. Sensory responses also occurred in both the precentral and postcentral gyri with a distribution more ventral than that of motor responses. Mixed motor and sensory responses tended to be limited to the middle part of the central sulcus. Sites where electrical stimulation arrested simple hand repetitive voluntary movements occurred widely throughout the premotor and primary sensorimotor cortices. These data indicate a marked variability in the location of the human cortical hand area, and suggest that motor and sensory hand cortices overlap and are not divided in a simple manner by the central sulcus.
NEUROLOGY 1996,46 360-367
This article has been cited by other articles:
|
|
 |
|
  A. Kumar, C. Juhasz, E. Asano, S.K. Sundaram, M.I. Makki, D.C. Chugani, and H.T. Chugani Diffusion Tensor Imaging Study of the Cortical Origin and Course of the Corticospinal Tract in Healthy Children AJNR Am. J. Neuroradiol., November 1, 2009; 30(10): 1963 - 1970. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 X. Wang, M. Gerken, M. Dennis, R. Mooney, J. Kane, S. Khuder, H. Xie, W. Bauer, A. V. Apkarian, and J. Wall Profiles of Precentral and Postcentral Cortical Mean Thicknesses in Individual Subjects over Acute and Subacute Time-Scales Cereb Cortex, October 13, 2009; (2009) bhp226v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H W Lee, J S Shin, W R S Webber, N E Crone, L Gingis, and R P Lesser Reorganisation of cortical motor and language distribution in human brain J. Neurol. Neurosurg. Psychiatry, March 1, 2009; 80(3): 285 - 290. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Fukuda, M. Nishida, C. Juhasz, O. Muzik, S. Sood, H. T. Chugani, and E. Asano Short-latency median-nerve somatosensory-evoked potentials and induced gamma-oscillations in humans Brain, July 1, 2008; 131(7): 1793 - 1805. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. P. Lesser, H. W. Lee, W. R. S. Webber, B. Prince, N. E. Crone, and D. L. Miglioretti Short-term variations in response distribution to cortical stimulation Brain, June 1, 2008; 131(6): 1528 - 1539. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Desmurget, F. Bonnetblanc, and H. Duffau Contrasting acute and slow-growing lesions: a new door to brain plasticity Brain, April 1, 2007; 130(4): 898 - 914. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Rubboli, R. Mai, S. Meletti, S. Francione, F. Cardinale, L. Tassi, G. L. Russo, M. Stanzani-Maserati, G. Cantalupo, and C. A. Tassinari Negative myoclonus induced by cortical electrical stimulation in epileptic patients Brain, January 1, 2006; 129(1): 65 - 81. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Sinai, C. W. Bowers, C. M. Crainiceanu, D. Boatman, B. Gordon, R. P. Lesser, F. A. Lenz, and N. E. Crone Electrocorticographic high gamma activity versus electrical cortical stimulation mapping of naming Brain, July 1, 2005; 128(7): 1556 - 1570. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. M. Friedman, L. M. Chen, and A. W. Roe Modality maps within primate somatosensory cortex PNAS, August 24, 2004; 101(34): 12724 - 12729. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H Duffau, L Capelle, D Denvil, N Sichez, P Gatignol, M Lopes, M-C Mitchell, J-P Sichez, and R Van Effenterre Functional recovery after surgical resection of low grade gliomas in eloquent brain: hypothesis of brain compensation J. Neurol. Neurosurg. Psychiatry, July 1, 2003; 74(7): 901 - 907. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Akai, H. Otsubo, E. W. Pang, J. T. Rutka, S. Chitoku, S. K. Weiss, and O. C. Snead Complex Central Cortex in Pediatric Patients With Malformations of Cortical Development J Child Neurol, May 1, 2002; 17(5): 347 - 352. [Abstract] [PDF]
|
|
|
|
|
|
J Romstock, R Fahlbusch, O Ganslandt, C Nimsky, and C Strauss Localisation of the sensorimotor cortex during surgery for brain tumours: feasibility and waveform patterns of somatosensory evoked potentials J. Neurol. Neurosurg. Psychiatry, February 1, 2002; 72(2): 221 - 229. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Rademacher, U. Burgel, S. Geyer, T. Schormann, A. Schleicher, H.-J. Freund, and K. Zilles Variability and asymmetry in the human precentral motor system: A cytoarchitectonic and myeloarchitectonic brain mapping study Brain, November 1, 2001; 124(11): 2232 - 2258. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Kim Predominant involvement of a particular group of fingers due to small, cortical infarction Neurology, June 26, 2001; 56(12): 1677 - 1682. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. I. Moore, C. E. Stern, S. Corkin, B. Fischl, A. C. Gray, B. R. Rosen, and A. M. Dale Segregation of Somatosensory Activation in the Human Rolandic Cortex Using fMRI J Neurophysiol, July 1, 2000; 84(1): 558 - 569. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Cramer, C. I. Moore, S. P. Finklestein, and B. R. Rosen A Pilot Study of Somatotopic Mapping After Cortical Infarct Stroke, March 1, 2000; 31(3): 668 - 671. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. F. Boeve, D. M. Maraganore, J. E. Parisi, J. E. Ahlskog, N. Graff-Radford, R. J. Caselli, D. W. Dickson, E. Kokmen, and R. C. Petersen Pathologic heterogeneity in clinically diagnosed corticobasal degeneration Neurology, September 1, 1999; 53(4): 795 - 795. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Kim Sensory symptoms restricted to proximal body parts in small cortical infarction Neurology, September 1, 1999; 53(4): 889 - 889. [Full Text] [PDF]
|
|
|
|
|
|
G. Nelles, G. Spiekermann, M. Jueptner, G. Leonhardt, S. Muller, H. Gerhard, and H. C. Diener Reorganization of Sensory and Motor Systems in Hemiplegic Stroke Patients : A Positron Emission Tomography Study Stroke, August 1, 1999; 30(8): 1510 - 1516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. G. Ray, K. J. Meador, J. R. Smith, J. W. Wheless, M. Sittenfeld, and G. L. Clifton Physiology of perception: Cortical stimulation and recording in humans Neurology, March 1, 1999; 52(5): 1044 - 1044. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Cramer, S. P. Finklestein, J. D. Schaechter, G. Bush, and B. R. Rosen Activation of Distinct Motor Cortex Regions During Ipsilateral and Contralateral Finger Movements J Neurophysiol, January 1, 1999; 81(1): 383 - 387. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Feiwell, K. J. Black, L. A. McGee-Minnich, A. Z. Snyder, A.-M. MacLeod, and J. S. Perlmutter Diminished regional cerebral blood flow response to vibration in patients with blepharospasm Neurology, January 1, 1999; 52(2): 291 - 291. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Ozawa, M. Inagaki, H. Aikoh, S. Hanaoka, K. Sugai, T. Hashimoto, and M. Kaga Somatosensory Evoked Potentials With a Unilateral Migration Disorder of the Cerebrum J Child Neurol, May 1, 1998; 13(5): 211 - 215. [Abstract] [PDF]
|
|
|
|
|
|
S. C. Cramer, G. Nelles, R. R. Benson, J. D. Kaplan, R. A. Parker, K. K. Kwong, D. N. Kennedy, S. P. Finklestein, and B. R. Rosen A Functional MRI Study of Subjects Recovered From Hemiparetic Stroke Stroke, December 1, 1997; 28(12): 2518 - 2527. [Abstract] [Full Text]
|
|
|
|
|
|
R. Traversa, P. Cicinelli, A. Bassi, P. M. Rossini, and G. Bernardi Mapping of Motor Cortical Reorganization After Stroke: A Brain Stimulation Study With Focal Magnetic Pulses Stroke, January 1, 1997; 28(1): 110 - 117. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
