2016
DOI: 10.7554/elife.15292
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Revealing the neural fingerprints of a missing hand

Abstract: The hand area of the primary somatosensory cortex contains detailed finger topography, thought to be shaped and maintained by daily life experience. Here we utilise phantom sensations and ultra high-field neuroimaging to uncover preserved, though latent, representation of amputees’ missing hand. We show that representation of the missing hand’s individual fingers persists in the primary somatosensory cortex even decades after arm amputation. By demonstrating stable topography despite amputation, our finding qu… Show more

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Cited by 121 publications
(198 citation statements)
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References 59 publications
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“…Error bars = SEM. FST, foot size task; HST, hand size task; *significant difference (p < .05) between pre-and post-rTMS assessment limb seems to remain stable despite the loss of the peripheral input (Kikkert et al, 2016;Makin & Bensmaia, 2017;Makin, Scholz, Henderson Slater, Johansen-Berg, & Tracey, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…Error bars = SEM. FST, foot size task; HST, hand size task; *significant difference (p < .05) between pre-and post-rTMS assessment limb seems to remain stable despite the loss of the peripheral input (Kikkert et al, 2016;Makin & Bensmaia, 2017;Makin, Scholz, Henderson Slater, Johansen-Berg, & Tracey, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…The original pathway seems to be relatively spared as evidenced by the elicitation of sensations evoked on the amputated or insensate limb through stimulation of the peripheral nerve or somatosensory cortex. Furthermore, human imaging studies show that the representation of the missing limb, while noisier than that of an intact limb (as might be expected since it lacks its natural afferent input), is maintained in human amputees decades after amputation [36,60], as evidenced by a canonical functional hand layout [61] (Figure 3). Interestingly, hand topography is also preserved in individuals who have suffered brachial plexus injuries – which result in tearing the nerves – suggesting that the persistence of hand topography is SI does not depend on peripheral inputs.…”
Section: Stability Of Sensory Topographies In Adult Cortexmentioning
confidence: 99%
“…Input from motor cortex in particular may serve to maintain somatosensory topographies. Indeed, the evidence for persistent topography described earlier (Figure 3) was obtained by asking amputees to produce individuated finger movements with their phantom hand [60,67], which led to somatotopically appropriate patterns of activity in SI despite the absence of peripheral input [61]. …”
Section: Neural Basis Of Stable Cortical Representationsmentioning
confidence: 99%
“…Digit somatotopy is characterised in neuroimaging by two main principles: 1) digit selectivity, meaning separable regions show increased responsiveness to one digit compared to all other digits , and 2) inter-digit overlap, where neighbouring digits are more overlapping in their representation than non-neighbouring digits (Ejaz et al, 2015). The features of these digits maps have been extensively studied separately using either active (Kikkert et al, 2016;Wesselink et al, 2019) or passive tasks (Martuzzi, van der Zwaag, Farthouat, Gruetter, & Blanke, 2014;Sanchez-Panchuelo et al, 2010;Schweizer, Voit, & Frahm, 2008). Recent work by Berlot and colleagues (2019) provided a comparison between active and passive tasks.…”
Section: Introductionmentioning
confidence: 99%