Patient AK
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In
neuroanatomy Neuroanatomy is the study of the structure and organization of the nervous system. In contrast to animals with radial symmetry, whose nervous system consists of a distributed network of cells, animals with bilateral symmetry have segregated, defi ...
, the superior frontal gyrus (SFG, also marginal gyrus) is a
gyrus In neuroanatomy, a gyrus (: gyri) is a ridge on the cerebral cortex. It is generally surrounded by one or more sulci (depressions or furrows; : sulcus). Gyri and sulci create the folded appearance of the brain in humans and other mammals. ...
– a ridge on the
brain The brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head (cephalization), usually near organs for ...
's
cerebral cortex The cerebral cortex, also known as the cerebral mantle, is the outer layer of neural tissue of the cerebrum of the brain in humans and other mammals. It is the largest site of Neuron, neural integration in the central nervous system, and plays ...
– which makes up about one third of the
frontal lobe The frontal lobe is the largest of the four major lobes of the brain in mammals, and is located at the front of each cerebral hemisphere (in front of the parietal lobe and the temporal lobe). It is parted from the parietal lobe by a Sulcus (neur ...
. It is bounded laterally by the
superior frontal sulcus The superior frontal sulcus is a sulcus between the superior frontal gyrus and the middle frontal gyrus, that defines the lateral limit of the Superior frontal gyrus In neuroanatomy, the superior frontal gyrus (SFG, also marginal gyrus) is a gy ...
. The superior frontal gyrus is one of the
frontal gyri The frontal gyri are six gyri of the frontal lobe in the brain. There are five horizontally oriented, parallel convolutions, of the frontal lobe that are aligned anterior to posterior. Three are visible on the lateral surface of the brain and two ...
.


Function


Self-awareness

In
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area o ...
experiments, Goldberg ''et al.'' have found evidence that the superior frontal gyrus is involved in
self-awareness In philosophy of self, philosophy, self-awareness is the awareness and reflection of one's own personality or individuality, including traits, feelings, and behaviors. It is not to be confused with consciousness in the sense of qualia. While ...
, in coordination with the action of the
sensory system The sensory nervous system is a part of the nervous system responsible for processing sensory information. A sensory system consists of sensory neurons (including the sensory receptor cells), neural pathways, and parts of the brain involved ...
. The
medial frontal gyrus The medial frontal gyrus is a continuation of the superior frontal gyrus from its most anterior border onto the medial surface of the hemisphere. The medial and superior frontal gyri are two of the frontal gyri of the frontal lobe The front ...
(MFG) is the medial portion of the superior frontal gyrus. The MFG plays a crucial role implicated in
self-reflection Self-reflection is the ability to witness and evaluate one's own cognitive, emotional, and behavioural processes. In psychology, other terms used for this self-observation include "reflective awareness" and "reflective consciousness", which or ...
and
self-awareness In philosophy of self, philosophy, self-awareness is the awareness and reflection of one's own personality or individuality, including traits, feelings, and behaviors. It is not to be confused with consciousness in the sense of qualia. While ...
, particularly during self-referential processing. The MFG becomes activated when individuals engage in tasks that involve evaluating traits about themselves. This process is essential for maintaining a
sense of self A sense is a biological system used by an organism for sensation, the process of gathering information about the surroundings through the detection of stimuli. Although, in some cultures, five human senses were traditionally identified as su ...
. In this study, people with
major depressive disorder Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive depression (mood), low mood, low self-esteem, and anhedonia, loss of interest or pleasure in normally ...
, also known as MDD, showed heightened and broader activation compared to healthy individuals, indicating that the connection between MDD and the medial frontal gyrus is shown through excessive self-awareness in depression that requires greater
cognitive control In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that support goal-directed behavior, by regulating thoughts and actions throu ...
. This heightened activation is often linked to persistent negative self-focused thoughts. While the medial frontal gyrus plays a role in self-awareness, it also demonstrates altered activity in depression that drives maladaptive
self-reflection Self-reflection is the ability to witness and evaluate one's own cognitive, emotional, and behavioural processes. In psychology, other terms used for this self-observation include "reflective awareness" and "reflective consciousness", which or ...
patterns, furthering the
emotional distress In medicine, distress is an aversive state in which a person is unable to completely adapt to difficult situations and their resulting effects and shows maladaptive behaviors. It can be evident in the presence of various phenomena, such as inapp ...
and inability to shift focus from negative thoughts.


Language

The superior frontal gyrus (SFG) has been identified as a brain region that is crucial to
language Language is a structured system of communication that consists of grammar and vocabulary. It is the primary means by which humans convey meaning, both in spoken and signed language, signed forms, and may also be conveyed through writing syste ...
. The SFG is thought to be associated with language functions such as spontaneity and speech initiation. Research into the connection between the gyrus and language began after the tract connecting the SFG and Broca’s area was discovered and named the “frontal aslant tract”. As further research developed investigating this tract, a reciprocal corticocortical network between the two brain regions was revealed, indicating that the language system extends beyond the well-known Broca’s and Wernicke’s areas. The newfound importance of the SFG in language has prompted researchers to further evaluate the effects of
transcranial magnetic stimulation Transcranial magnetic stimulation (TMS) is a noninvasive neurostimulation technique in which a changing magnetic field is used to induce an electric current in a targeted area of the brain through electromagnetic induction. A device called a st ...
(TMS) in patients with
aphasia Aphasia, also known as dysphasia, is an impairment in a person's ability to comprehend or formulate language because of dysfunction in specific brain regions. The major causes are stroke and head trauma; prevalence is hard to determine, but aph ...
. A 2023 study found that in patients with aphasia, the treatment group that received
speech and language therapy Speech is the use of the human voice as a medium for language. Spoken language combines vowel and consonant sounds to form units of meaning like words, which belong to a language's lexicon. There are many different intentional speech acts, suc ...
along with rTMS in the SFG exhibited greater treatment efficiency and language improvement than the sham group.


Laughter

In 1998, neurosurgeon Itzhak Fried described a 16-year-old female patient (referred to as "patient AK") who
laugh Laughter is a pleasant physical reaction and emotion consisting usually of rhythmical, usually audible contractions of the diaphragm and other parts of the respiratory system. It is a response to certain external or internal stimuli. Laug ...
ed when her SFG was stimulated with
electric current An electric current is a flow of charged particles, such as electrons or ions, moving through an electrical conductor or space. It is defined as the net rate of flow of electric charge through a surface. The moving particles are called charge c ...
during treatment for
epilepsy Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
.
Electrical stimulation Functional electrical stimulation (FES) is a technique that uses low-energy electrical pulses to artificially generate body movements in individuals who have been paralyzed due to injury to the central nervous system. More specifically, FES ca ...
was applied to the cortical surface of AK's left
frontal lobe The frontal lobe is the largest of the four major lobes of the brain in mammals, and is located at the front of each cerebral hemisphere (in front of the parietal lobe and the temporal lobe). It is parted from the parietal lobe by a Sulcus (neur ...
while an attempt was made to locate the focus of her
epileptic seizures A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, o ...
(which were never accompanied by laughter). Fried identified a 2 cm by 2 cm area on the left SFG where stimulation produced laughter consistently (over several trials). AK reported that the laughter was accompanied by a sensation of merriment or mirth. AK gave a different explanation for the laughter each time, attributing it to an (unfunny) external stimulus. Thus, laughter was attributed to the picture she was asked to name (saying "the horse is funny"), or to the sentence she was asked to read, or to persons present in the room ("you guys are just so funny... standing around"). Increasing the level of stimulation current increased the duration and intensity of laughter. For example, at low currents only a
smile A smile is a facial expression formed primarily by flexing the muscles at the sides of the mouth. Some smiles include a contraction of the muscles at the corner of the eyes, an action known as a Duchenne smile. Among humans, a smile expresses d ...
was present, while at higher currents a louder, contagious laughter was induced. The laughter was also accompanied by the stopping of all activities involving speech or hand movements.


Working Memory

The superior frontal gyrus (SFG) may play a role in
executive functions In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that support goal-directed behavior, by regulating thoughts and actions thro ...
such as
self-monitoring Self-monitoring, a concept introduced in the 1970s by Mark Snyder, describes the extent to which people monitor their self-presentations, expressive behavior, and nonverbal affective displays. Snyder held that human beings generally differ in su ...
,
working memory Working memory is a cognitive system with a limited capacity that can Memory, hold information temporarily. It is important for reasoning and the guidance of decision-making and behavior. Working memory is often used synonymously with short-term m ...
,
organization An organization or organisation (English in the Commonwealth of Nations, Commonwealth English; American and British English spelling differences#-ise, -ize (-isation, -ization), see spelling differences) is an legal entity, entity—such as ...
, and
planning Planning is the process of thinking regarding the activities required to achieve a desired goal. Planning is based on foresight, the fundamental capacity for mental time travel. Some researchers regard the evolution of forethought - the cap ...
. In a 2006 study, patients with left prefrontal
lesion A lesion is any damage or abnormal change in the tissue of an organism, usually caused by injury or diseases. The term ''Lesion'' is derived from the Latin meaning "injury". Lesions may occur in both plants and animals. Types There is no de ...
s on the SFG exhibited poorer results on working memory tasks than the control group. Mapping showed the lateral and posterior portions of the SFG contributed the most to the working memory deficit (mostly in
Brodmann area 8 Brodmann area 8 is one of Brodmann's cytologically defined regions of the brain. It is involved in planning complex movements. Human Brodmann area 8, or BA8, is part of the frontal cortex in the human brain. Situated just anterior to the pre ...
in front of the
frontal eye field The frontal eye fields (FEF) are a region located in the frontal cortex, more specifically in Brodmann area 8 or BA8, of the primate brain. In humans, it can be more accurately said to lie in a region around the intersection of the middle fronta ...
). This study suggests the SFG is involved in executive processing.


Disorders Associated with Abnormalities of the Superior Frontal Gyrus

Abnormalities in the superior frontal gyrus are implicated in emotional and behavioral symptoms.
Atrophy Atrophy is the partial or complete wasting away of a part of the body. Causes of atrophy include mutations (which can destroy the gene to build up the organ), malnutrition, poor nourishment, poor circulatory system, circulation, loss of hormone, ...
in the superior frontal gyrus, characterized by decreased
cortical thickness The cerebral cortex, also known as the cerebral mantle, is the outer layer of neural tissue of the cerebrum of the brain in humans and other mammals. It is the largest site of neural integration in the central nervous system, and plays a key ...
and
gray matter Grey matter, or gray matter in American English, is a major component of the central nervous system, consisting of neuronal cell bodies, neuropil (dendrites and unmyelinated axons), glial cells (astrocytes and oligodendrocytes), synapses, and ...
volume, is associated with the severe
irritability Irritability is the excitatory ability that living organisms have to respond to changes in their environment. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessive sensitivity to stimul ...
observed in youth with
ADHD Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple ...
,
disruptive mood dysregulation disorder Disruptive mood dysregulation disorder (DMDD) is a mental disorder in children and adolescents characterized by a persistently irritable or angry mood and frequent temper outbursts that are disproportionate to the situation and significantly more ...
,
oppositional defiant disorder Oppositional defiant disorder (ODD) is listed in the DSM-5 under ''Disruptive, impulse-control, and conduct disorders'' and defined as "a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness." This behavior is usu ...
, and
conduct disorder Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reck ...
. Severe irritability is characterized by excessive sensitivity to negative emotional
stimuli A stimulus is something that causes a physiological response. It may refer to: *Stimulation **Stimulus (physiology), something external that influences an activity **Stimulus (psychology), a concept in behaviorism and perception *Stimulus (economi ...
and impaired inhibition of
anger Anger, also known as wrath ( ; ) or rage (emotion), rage, is an intense emotional state involving a strong, uncomfortable and non-cooperative response to a perceived provocation, hurt, or threat. A person experiencing anger will often experie ...
and reactive
aggression Aggression is behavior aimed at opposing or attacking something or someone. Though often done with the intent to cause harm, some might channel it into creative and practical outlets. It may occur either reactively or without provocation. In h ...
. In a 2022 study on depressed patients with severe
anhedonia Anhedonia is a diverse array of deficits in hedonic function, including reduced motivation or ability to experience pleasure. While earlier definitions emphasized the inability to experience pleasure, anhedonia is currently used by researcher ...
(the inability to feel pleasure), the left superior frontal gyrus was shown to have high efficiency as compared to depressed patients without anhedonia. This could indicate a compensatory mechanism in response to anhedonia and could serve as a potential
biomarker In biomedical contexts, a biomarker, or biological marker, is a measurable indicator of some biological state or condition. Biomarkers are often measured and evaluated using blood, urine, or soft tissues to examine normal biological processes, ...
of anhedonia in patients diagnosed with
major depressive disorder Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive depression (mood), low mood, low self-esteem, and anhedonia, loss of interest or pleasure in normally ...
. A 2023 study found a positive
correlation In statistics, correlation or dependence is any statistical relationship, whether causal or not, between two random variables or bivariate data. Although in the broadest sense, "correlation" may indicate any type of association, in statistics ...
between the cortical thickness of the superior frontal gyrus and
social anxiety Social anxiety is the anxiety and fear specifically linked to being in social settings (i.e., interacting with others). Some categories of disorders associated with social anxiety include anxiety disorders, mood disorders, autism spectrum dis ...
levels in participants with subthreshold social anxiety.


Additional images

File:Superior frontal gyrus animation small.gif, Position of superior frontal gyrus (shown in red) File:Gray725 superior frontal gyrus.png, Left cerebral hemisphere seen from above File:Gray726 superior frontal gyrus.png, Lateral surface of left cerebral hemisphere File:Gray727 superior frontal gyrus.png, Medial surface of left cerebral hemisphere File:Slide2HAN.JPG, Cerebrum. Lateral view. Deep dissection. Superior frontal gyrus labelled at top-left. File:Superior Frontal - DK ATLAS.png, Medial surface of right cerebral hemisphere. File:Superior frontal gyrus coronal sections.gif, Superior frontal gyrus highlighted in green on coronal T1 MRI images File:Superior frontal gyrus sagittal sections.gif, Superior frontal gyrus highlighted in green on sagittal T1 MRI images File:Superior frontal gyrus transversal sections.gif, Superior frontal gyrus highlighted in green on transversal T1 MRI images


References

{{Authority control Gyri Frontal lobe