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) |