The human motor cortex is selectively vulnerable in a number of neurodegenerative diseases. In this review McColgan et al. integrate layer-specific physiology and pathobiology in the motor cortex thereby generating hypotheses that can be tested in humans using ultra-high resolution neuroimaging techniques. Glossary Anti-sense oligonucleotide therapies-These are single stranded DNA molecules, which bind to target pre-mRNA and recruit RNAse H causing degradation of the complex. This approach has already been applied to a number of neurodegenerative disease including Huntington's disease, Parkinson's disease, Amyotrophic lateral sclerosis and Alzheimer's disease. Fusiform-This refers to a spindle shape, which is wide in the middle and tapers at both ends. Piriform-This refers to a pear shape, from the latin from pirum "pear" and forma "shape". 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-This is a compound which can cross the blood brain barrier were it is then converted into 1-methyl-4-phenylpyridinium (MPP+), a neurotoxin, which causes selective and permanent destruction of dopaminergic neurons in the substania nigra. Vibrotactile discrimination-This is an experimental design were stimuli of two different frequencies are applied to the hand and the participant is asked to discriminate between the low and high frequency stimuli. Infragranular layers-These are cortical layers 5 and 6, which are below the granular layer 4 in the neocortex. Supergranular layers-These are cortical layers 1 to 3, which are above the granular layer 4 in the neocortex. Hyperkinetic-This relates to increased or excessive movement, such as tremor in Parkinson's disease or chorea in Huntington's disease Hypokinetic-This relates to reduced or slowed movement, such as reduced fine finger movements and rigidity seen in Parkinson's disease. Magnetic resonance spectroscopy-This technique detects radiofrequency electromagnetic signals that are produced by the atomic nuclei within molecules. It can be used to obtain measures of chemicals in the brain, such as N-acetylasparate, creatine, glutamate and GABA.