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In monkeys, motor outputs from premotor cortex (PM) involve cortico-cortical connections with primary motor cortex (M1). However, in humans, the functional organization of PM and its relationship with the corticospinal tract (CST) is still uncertain. This study was carried out in 21 patients undergoing intraoperative brain mapping prior to tumor resection. The left ventrolateral premotor cortex (vlPM-BA6) was identified preoperatively by functional magnetic resonance imaging, and then investigated intraoperatively using high frequency direct electrical stimulation (HF-DES) of the convexity of M1 and vlPM-BA6, with simultaneous recording of motor-evoked potentials (MEPs) from oro-facial, hand and arm muscles. The somatotopy, organization of evoked responses, latency of MEPs, and cortical excitability of vlPM-BA6 were compared with reference data from M1. vlPM-BA6 was found to be less excitable, with significantly longer MEP latencies than M1. In addition to the pure oro-facial and hand-arm muscle representation, a "transition oro-hand zone" was identified in vlPM-BA6. The longer latency of vlPM-BA6 MEPs suggests that human vlPM could act on spinal motoneurons either directly through more slowly conducting CST fibers or via less direct pathways through M1, brainstem, or spinal mechanisms. The results help in disclosing the very different roles of vlPM and M1 in motor control., (© The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.)

The electroencephalographically measured Bereitschafts (readiness)-potential in the supplementary motor area (SMA) serves as a signature of the preparation of motor activity. Using a multichannel, noninvasive near-infrared spectroscopy (NIRS) imager, we studied the vascular correlate of the readiness potential. Sixteen healthy subjects performed a self-paced or externally triggered motor task in a single or repetitive pattern, while NIRS simultaneously recorded the task-related responses of deoxygenated hemoglobin (HbR) in the primary motor area (M1) and the SMA. Right-hand movements in the repetitive sequence trial elicited a significantly greater HbR response in both the SMA and the left M1 compared to left-hand movements. During the single sequence condition, the HbR response in the SMA, but not in the M1, was significantly greater for self-paced than for externally cued movements. Nonetheless, an unequivocal temporal delay was not found between the SMA and M1. Near-infrared spectroscopy is a promising, noninvasive bedside tool for the neuromonitoring of epileptic seizures or cortical spreading depolarizations (CSDs) in patients with epilepsy, stroke, or brain trauma because these pathological events are associated with typical spatial and temporal changes in HbR. Propagation is a characteristic feature of these events which importantly supports their identification and characterization in invasive recordings. Unfortunately, the present noninvasive study failed to show a temporal delay during self-paced movements between the SMA and M1 as a vascular correlate of the readiness potential. Although this result does not exclude, in principle, the possibility that scalp-NIRS can detect a temporal delay between different regions during epileptic seizures or CSDs, it strongly suggests that further technological development of NIRS should focus on both improved spatial and temporal resolution. This article is part of a Special Issue entitled Status Epilepticus., (Copyright © 2015. Published by Elsevier Inc.)

People generally have a strong and immediate intuition whether they are the author of an action or not. Nevertheless, recent psychological studies focused on situations of ambiguous agency. These studies concluded that agency is an inference rather than a direct perception, and is, at least sometimes, illusory. Moreover, shared representations of executed and merely observed actions within the sensorimotor system pose a challenge to the idea that a sense of agency can be grounded within that system. Here, we sought to investigate whether the human motor system is indeed sensitive to whether observed actions are linked to agency or not. In addition, we investigated whether the mere observation of an action has comparable effects on low-level, sensorimotor measures of agency, and on high-level, explicit representations of agency. To this end, we instructed participants to make simple manual movements, and manipulated the temporal correspondence between the movement that they made and the movement that they observed. Motor-evoked potentials to single-pulse TMS were taken as a low-level, sensorimotor measure of agency. To assess explicit representations of agency, participants verbally judged whether or not the observed movement temporally corresponded to the movement they executed. The results showed that corticospinal excitability varied with the degree of temporal correspondence of the executed and observed movements. Moreover, explicit agency judgments could be predicted from corticospinal excitability. This suggests that explicit judgments of agency could be directly based on information within the sensorimotor system., (© 2013 Published by Elsevier Ltd.)