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Neurology 2000;55:725-728
© 2000 American Academy of Neurology
Brief Communications

Evidence of cingulate motor representation in humans

B. Diehl, MD, D. S. Dinner, MD, A. Mohamed, FRACP, I. Najm, MD, G. Klem, REEGT, E. LaPresto, MS, W. Bingaman, MD and H. O. Lüders, MD, PhD

From the Departments of Neurology (Drs. Diehl, Dinner, Najm, and Lüders, and G. Klem) and Neurosurgery (Drs. LaPresto and Bingaman), Cleveland Clinic Foundation, OH; and Department of Neurology (Dr. Mohamed), Royal Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.

Address correspondence and reprint requests to Dr. B. Diehl, Department of Neurology, Cleveland Clinic Foundation, Desk S51, 9500 Euclid Ave., MB 655, Cleveland, OH 44195; e-mail: diehlb{at}ccf.org

A 44-year-old man with a right frontal lobe tumor and intractable seizures underwent subdural grid evaluation before resection. The electrode locations were identified on a three-dimensional surface-reconstructed image of the brain after subdural grid placement. Electrical stimulation of electrodes placed over the right cingulate gyrus revealed evidence of tonic posturing of the left forearm and wrist and tonic extension of the left leg. This finding provides further evidence of a motor area in the cingulate gyrus in humans.




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