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Neuron. 2007 Jun 7;54(5):697-711.

Human medial frontal cortex mediates unconscious inhibition of voluntary action.

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1
School of Psychology, Cardiff University, Tower Building, Park Place, Cardiff CF10 3AT, UK. sumnerp@cardiff.ac.uk

Abstract

Within the medial frontal cortex, the supplementary eye field (SEF), supplementary motor area (SMA), and pre-SMA have been implicated in the control of voluntary action, especially during motor sequences or tasks involving rapid choices between competing response plans. However, the precise roles of these areas remain controversial. Here, we study two extremely rare patients with microlesions of the SEF and SMA to demonstrate that these areas are critically involved in unconscious and involuntary motor control. We employed masked-prime stimuli that evoked automatic inhibition in healthy people and control patients with lateral premotor or pre-SMA damage. In contrast, our SEF/SMA patients showed a complete reversal of the normal inhibitory effect--ocular or manual--corresponding to the functional subregion lesioned. These findings imply that the SEF and SMA mediate automatic effector-specific suppression of motor plans. This automatic mechanism may contribute to the participation of these areas in the voluntary control of action.

PMID:
17553420
PMCID:
PMC1890004
DOI:
10.1016/j.neuron.2007.05.016
[Indexed for MEDLINE]
Free PMC Article
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