Cerebral cortex
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Through the influence of Goldman-Rakic, much research has been focused on the role of the dorsolateral prefrontal cortex in spatial working memory, decision making, and saccade generation, whereas functions of other parts of the frontal lobe including the ventrolateral prefrontal cortex (VLPFC) are less clear. Previous studies in non-human primates have shown that some VLPFC cells are selectively responsive to faces. ⋯ The determination that ventral prefrontal neurons are multisensory and responsive to auditory and visual communication stimuli may help to establish an animal model to assist in the investigation of the circuit and cellular basis of human communication. This will also aid in the understanding of general frontal lobe function and the processes that go awry in disorders including autism and schizophrenia, where disturbances in prefrontal function have been noted.
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Noxious stimulation of skeletal muscle evokes pain that is often referred into distal areas. Despite referred pain being of significant clinical importance, the brain regions responsible for the perception of referred pain remain unexplored. The aim of this investigation is to define these regions using functional magnetic resonance imaging. ⋯ However, for those subjects who reported referred pain, signal intensity increases also occurred in the SI region representing the foot or hand. Interestingly, differential signal changes also occurred in anterior cingulate, cerebellar, and insular cortices. This is the first study to provide evidence of cortical differentiation in the processing of primary and referred pain.
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Because awareness of emotional states in the self is a prerequisite to recognizing such states in others, alexithymia (ALEX), difficulty in identifying and expressing one's own emotional states, should involve impairment in empathy. Using functional magnetic resonance imaging (fMRI), we compared an ALEX group (n = 16) and a non-alexithymia (non-ALEX) group (n = 14) for their regional hemodynamic responses to the visual perception of pictures depicting human hands and feet in painful situations. Subjective pain ratings of the pictures and empathy-related psychological scores were also compared between the 2 groups. ⋯ The ALEX group showed greater activation in the right insula and inferior frontal gyrus. Furthermore, alexithymic participants scored lower on the pain ratings and on the scores related to mature empathy. In conclusion, the hypofunction in the DLPFC, brain stem, cerebellum, and ACC and the lower pain-rating and empathy-related scores in ALEX are related to cognitive impairments, particularly executive and regulatory aspects, of emotional processing and support the importance of self-awareness in empathy.