[The doctrine of brain localization and its development in the 20th century]

The discovery of the cerebral motor cortex in the last third of the 19th century has decisively influenced the doctrine of cerebral localization. It has dominated brain research from there on. Its considerable practical importance for focalized local diagnosis was recognized from the clinical point of view. As a consequence, interdisciplinary institutions for brain research developed in Europe and in the USA for the study of functional localization in the brain by means of cyto- and myeloarchitecture, electrical brain stimulation and lesion experiments in close connection with clinico-neurologic centers. From this research resulted the cerebral cortical maps with more or less numerous areas linked to either sensory, motor or 'higher' psychic functions. An intensive, emotional critique developed against the brain-localization theory from its onset. This article demonstrates that the arguments of the anti-localizationists gave rise in part to new knowledge about some principles of cerebral function. Some of these are the concept of 'diaschisis' (distant effects of acute lesions and functional recovery, von Monakow, 1902), the concept of 'motor equivalence' (Lashley, 1930) and of neuronal plasticity of the cerebral cortex (Cajal, 1911). Furthermore, modern imaging techniques (position emission tomography, functional nuclear spin resonance) show that complex functions in particular, such as the natural, targeted arm and grasp synergy, are not 'localized' within a small area of the cortex but do activate multiple neuronal networks interconnected dynamically and in alternating composition in the process of movement initiation and execution.