Human lesions and animal studies link the claustrum to perception, salience, sleep and pain.
Human lesions and animal studies link the claustrum to perception, salience, sleep and pain.
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DOI:
10.1093/brain/awac114
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发表时间:
2022-06-03
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影响因子:
--
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中科院分区:
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--
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The claustrum is the most densely interconnected region in the human brain. Despite the accumulating data from clinical and experimental studies, the functional role of the claustrum remains unknown. Here, we systematically review claustrum lesion studies and discuss their functional implications. Claustral lesions are associated with an array of signs and symptoms, including changes in cognitive, perceptual and motor abilities; electrical activity; mental state; and sleep. The wide range of symptoms observed following claustral lesions do not provide compelling evidence to support prominent current theories of claustrum function such as multisensory integration or salience computation. Conversely, the lesions studies support the hypothesis that the claustrum regulates cortical excitability. We argue that the claustrum is connected to, or part of, multiple brain networks that perform both fundamental and higher cognitive functions. As a multifunctional node in numerous networks, this may explain the manifold effects of claustrum damage on brain and behaviour. The claustrum is the most densely interconnected region in the human brain. By reviewing the literature on human lesions of the claustrum and linking it to the recent explosion in animal research, Atilgan et al. argue that the claustrum contributes to perception, pain, sleep and salience via its integral roles in different networks.
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