How is electrical stimulation of the brain experienced, and how can we tell? Selected considerations on sensorimotor function and speech

Somatosensory cortex microstimulation modulates primary motor and ventral premotor cortex neurons with extensive spatial convergence and divergence

Intracortical microstimulation (ICMS) is known to affect distant neurons transynaptically, yet the extent to which ICMS pulses delivered in one cortical area modulate neurons in other cortical areas remains largely unknown. Here we assessed how the individual pulses of multi-channel ICMS trains delivered in the upper extremity representation of the macaque primary somatosensory area (S1) modulate neuron firing in the primary motor cortex (M1) and in the ventral premotor cortex (PMv). S1-ICMS pulses modulated the majority of units recorded both in the M1 upper extremity representation and in PMv, producing more inhibition than excitation. Effects converged on individual neurons in both M1 and PMv from extensive S1 territories. Conversely, effects of ICMS delivered in a small region of S1 diverged to wide territories in both M1 and PMv. The effects of this direct modulation of M1 and PMv neurons produced by multi-electrode S1-ICMS like that used here may need to be taken into account by bidirectional brain-computer interfaces that decode intended movements from neural activity in these cortical motor areas.

Significance Statement

Although ICMS is known to produce effects transynaptically, relatively little is known about how ICMS in one cortical area affects neurons in other cortical areas. We show that the effects of multi-channel ICMS in a small patch of S1 diverge to affect neurons distributed widely in both M1 and PMv, and conversely, individual neurons in each of these areas can be affected by ICMS converging from much of the S1 upper extremity representation. Such direct effects of ICMS may complicate the decoding of motor intent from M1 or PMv when artificial sensation is delivered via S1-ICMS in bidirectional brain-computer interfaces.

Injecting Information into the Mammalian Cortex: Progress, Challenges, and Promise

For 150 years artificial stimulation has been used to study the function of the nervous system. Such stimulation-whether electrical or optogenetic-eventually may be used in neuroprosthetic devices to replace lost sensory inputs and to otherwise introduce information into the nervous system. Efforts toward this goal can be classified broadly as either biomimetic or arbitrary. Biomimetic stimulation aims to mimic patterns of natural neural activity, so that the subject immediately experiences the artificial stimulation as if it were natural sensation. Arbitrary stimulation, in contrast, makes no attempt to mimic natural patterns of neural activity. Instead, different stimuli-at different locations and/or in different patterns-are assigned different meanings randomly. The subject's time and effort then are required to learn to interpret different stimuli, a process that engages the brain's inherent plasticity. Here we will examine progress in using artificial stimulation to inject information into the cerebral cortex and discuss the challenges for and the promise of future development.

Direct electrical stimulation mapping of cognitive functions in the human brain

Direct electrical stimulation (DES) is a well-established clinical tool for mapping cognitive functions while patients are undergoing awake neurosurgery or invasive long-term monitoring to identify epileptogenic tissue. Despite the proliferation of a range of invasive and noninvasive methods for mapping sensory, motor and cognitive processes in the human brain, DES remains the clinical gold standard for establishing the margins of brain tissue that can be safely removed while avoiding long-term neurological deficits. In parallel, and principally over the last two decades, DES has emerged as a powerful scientific tool for testing hypotheses of brain organization and mechanistic hypotheses of cognitive function. DES can cause transient "lesions" and thus can support causal inferences about the necessity of stimulated brain regions for specific functions, as well as the separability of sensory, motor and cognitive processes. This Special Issue of Cognitive Neuropsychology emphasizes the use of DES as a research tool to advance understanding of normal brain organization and function.