Abstract:
Within-arm somatotopy was identified in multiple motor areas of
six normal human subjects who performed a visuomotor tracking task
during positron emission tomography (PET) measurement of relative
cerebral blood flow (relCBF). A randomly moving target, presented on a
computer monitor, was continuously followed with the index finger
(movement at the metacarpophalangeal joint), thumb, fist (movement at
the wrist), forearm (movement at the elbow), elbow (movement at the
shoulder), and eyes alone (control task) during sequential imaging.
Segmental limb movements were associated with relCBF responses in the
contralateral motor, supplementary motor, cingulate, and parietal
cortex, and in the ipsilateral cerebellum. Localization of responses
after stereotaxic transformation into Talairach atlas space, as well as
within-subject analysis without anatomic deformations, demonstrated an
overlapping somatotopic distribution in the motor cortex, with thumb
responses most ventrolateral and shoulder responses most dorsomedial.
Proximal limb movements induced relCBF responses of greater magnitude
than distal movements. Somatotopy was also identified in the
supplementary motor area, with index finger responses dorsal and
anterior to shoulder responses. An additional set of somatotopic
responses were located in the cingulate cortex, also with finger
responses anterior to shoulder responses. Somatotopy was not identified
in the anterior cerebellum. The distribution of relCBF responses is
concordant with electrophysiologic studies in nonhuman primates that
demonstrate a fractured somatotopy on a fine scale and a general
somatotopic scheme of the limb on a large scale in multiple discrete
motor areas