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Motor Control in a Split-brain Patient Assessed Using Event-related Fmri

 Paul M. Corballis, Margaret G. Funnell and Michael S. Gazzaniga
  
 

Abstract:
Studies with callosotomy ("split-brain") patients have shown that they perform tasks requiring a choice response more accurately when the stimulus is presented to the visual hemifield ipsilateral to the hand making the response. Nevertheless, responses made with the contralateral hand tend to be fairly accurate. This could reflect some ability of each hemisphere to control the responses of the ipsilateral hand. Alternatively, it could reflect information transfer to the opposite hemisphere, which then emits the response. We assessed these alternatives in an event-related fMRI study in a right-handed callosotomy patient. Stimuli were flashed to one visual hemifield, and the patient was asked to indicate via button-press whether a critical feature was on the top or bottom of the stimulus. In one condition, the patient responded with the hand ipsilateral to the stimulus, so that the hemisphere that processed the stimulus also controlled the response. In other conditions, she always responded with the same hand regardless of where the stimulus appeared. Across all conditions we found motor activation in the hemisphere contralateral to the hand making the response. This pattern is consistent with the idea that information is transferred between the hemispheres prior to the initiation of the response, which is generated in the hemisphere that controls the responding hand. There is little evidence to support the ipsilateral control of manual responses.

 
 


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