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Parietal network underlying movement control: disturbances during subcortical electrostimulation.

Fabien Almairac1, Guillaume Herbet, Sylvie Moritz-Gasser

  • 1Department of Neurosurgery, University Hospital of Nice, Hôpital Pasteur, Pavillon G, Avenue de la Voie Romaine, 06000, Nice, France, fabien.almairac@gmail.com.

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|February 15, 2014
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Summary

Subcortical mapping in glioma patients revealed novel parietal lobe pathways crucial for motor control modulation. Preserving these newly identified fronto-parietal networks is vital during brain surgery to prevent movement disorders.

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Area of Science:

  • Neuroscience
  • Neurosurgery

Background:

  • Understanding of brain movement control has evolved, revealing interconnected networks.
  • However, the specific roles of these networks, particularly in the parietal lobe, remain largely unknown.

Observation:

  • Two patients with parietal low-grade glioma underwent surgery with cortical and subcortical mapping under local anesthesia.
  • Subcortical electrostimulation posterior to thalamocortical fibers induced distinct movement disorders, including inhibition and acceleration of limb movements.

Findings:

  • Electrostimulation identified veil-like white matter fibers posterior to thalamocortical pathways in the parietal lobe.
  • These fibers appear to modulate motor control, potentially forming a fronto-parietal movement control subnetwork.

Implications:

  • These findings underscore the critical role of subcortical connectivity in motor regulation.
  • Identification and preservation of these parietal lobe pathways are essential during brain surgery to maintain motor function.