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. Author manuscript; available in PMC: 2014 Sep 1.
Published in final edited form as: Curr Phys Med Rehabil Rep. 2013 Sep;1(3):187–196. doi: 10.1007/s40141-013-0017-y

Table 1.

Neural regions associated with swallowing function

Region Hypothesized role References
Primary Somatosensory, motor and Motor Supplementary cortices (BA 1, 2, 3, 4, and 6) Cortical processing of swallowing, including motor regulation and execution and motor control. (Hamdy et al. 1999a; Hamdy et al. 1999b)
(Mosier & Bereznaya 2001)
(Martin et al. 2001)

Anterior cingulate (BA 24 and 32) Higher order motor processing: swallowing movement planning and execution. (Hamdy et al. 1999a; Hamdy et al. 1999b)
Cognitive perceptual processes such as attention and response selection. (Martin et al. 2001)
(Martin et al. 2004)

Orbitofrontal cortex (BA 10, 11, 12, 44, 45, and 47) Unclear (Mosier et al. 1999b)

Parieto-occipital cortex (BA 7, 17, 18, 40) Sensory processing of swallowing. (Hamdy et al. 1999a)
(Kern et al. 2001)
Task-cue processing, not swallowing per se. (Toogood et al. 2005)
Movement planning and execution. (Mosier & Bereznaya 2001)

Temporopolar cortex (BA 22 and 38) Unclear (Mosier et al. 1999b)

Insular cortex Processing of gustatory input. (Daniels et al. 2006)
Intraoral sensory modulation.
(Daniels & Foundas 1997)
(Mosier et al. 1999a; Mosier et al. 1999b)

Internal capsule Functional connection of the cortical and brain stem nuclei via the corticobulbar tracts. (Mosier et al. 1999a; Mosier et al. 1999b)
Gonzalez-Fernandez, et.al, 2008)

Thalamus Sensory and motor input processing via thalamocortical and thalamostriatal pathways. (Daniels et al. 1998)
(Mosier et al. 1999b)

Basal Ganglia (caudate and/or putamen) Gating of Sensory Output. (Mosier & Bereznaya 2001)
(Daniels et al. 1998)(Suzuki et al. 2003)

Cerebral Peduncle Descending pathways from the cortex. Miller(Miller, 1982)

Brain Stem Central pattern generator, swallowing regulation. (Jean, 1972; Jean, 1984; Jean, 2001)

Cerebellum Regulation of adaptive coordination, sequencing, timing, learning and memory of motion. (Zald & Pardo 1999)
(Mosier & Bereznaya 2001)
(Suzuki et al. 2003)