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Research Article| Volume 97, P296-303, August 2019

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Electrical stimulation of the human claustrum

  • Author Footnotes
    1 Current affiliation: Feinstein Institute for Medical Research and Departments of Neurosurgery and Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, 11030, United States of America.
    Stephan Bickel
    Footnotes
    1 Current affiliation: Feinstein Institute for Medical Research and Departments of Neurosurgery and Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, 11030, United States of America.
    Affiliations
    Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA 94305, United States of America
    Search for articles by this author
  • Josef Parvizi
    Correspondence
    Corresponding author.
    Affiliations
    Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA 94305, United States of America
    Search for articles by this author
  • Author Footnotes
    1 Current affiliation: Feinstein Institute for Medical Research and Departments of Neurosurgery and Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, 11030, United States of America.

      Highlights

      • The claustrum has been described as a brain structure crucial to the generation of consciousness.
      • A prior single case study reported disruption of consciousness with electrical stimulation close to the human claustrum.
      • We bilaterally stimulated the core of the human claustrum in 5 patients implanted with intracranial electrodes.
      • No changes in subject's awareness were elicited with unilateral or bilateral electrical perturbation of the claustrum.

      Abstract

      To probe the causal importance of the claustrum in human subjective experience, we delivered electrical pulses either unilaterally or bilaterally within the core of this structure in five neurosurgical patients implanted with intracranial electrodes. Patients reported subjective experiences in various sensory domains and exhibited reflexive movements after real but not sham stimulations. However, none of the stimulations evoked loss of consciousness or lack of subjective awareness even with strong bilateral stimulations. Our study is the first to probe the effects of electrical perturbation of human claustrum through electrodes implanted within the claustrum itself and provide novel causal information about the human claustrum.

      Keywords

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