title: Thermosensory activation of insular cortex.
abstract: Temperature sensation is regarded as a submodality of touch, but evidence suggests involvement of insular cortex rather than parietal somatosensory cortices. Using positron emission tomography (PET), we found contralateral activity correlated with graded cooling stimuli only in the dorsal margin of the middle/posterior insula in humans. This corresponds to the thermoreceptive- and nociceptive-specific lamina I spinothalamocortical pathway in monkeys, and can be considered an enteroceptive area within limbic sensory cortex. Because lesions at this site can produce the post-stroke central pain syndrome, this finding supports the proposal that central pain results from loss of the normal inhibition of pain by cold. Notably, perceived thermal intensity was well correlated with activation in the right (ipsilateral) anterior insular and orbitofrontal cortices.
authors.affiliation: Division of Neurosurgery, Barrow Neurological Institute, 350 West Thomas Rd., Phoenix, Arizona 85013, USA. bcraig@mha.chw.edu
authors.forename: A D
authors.initials: AD
authors.lastname: Craig
authors.forename: K
authors.initials: K
authors.lastname: Chen
authors.forename: D
authors.initials: D
authors.lastname: Bandy
authors.forename: E M
authors.initials: EM
authors.lastname: Reiman
mesh_terms: D000328:Adult; D001931:Brain Mapping; D002540:Cerebral Cortex / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000502:physiology*; D002560:Cerebrovascular Circulation / Q000502:physiology; D003080:Cold Temperature; D004056:Differential Threshold / Q000502:physiology; D005260:Female; D006225:Hand / Q000294:innervation / Q000502:physiology; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010812:Physical Stimulation; D016548:Prosencephalon / Q000098:blood supply / Q000000981:diagnostic imaging / Q000502:physiology; D013697:Thermosensing / Q000502:physiology*; D014055:Tomography, Emission-Computed