Volume 62, Issue 6, Pages (June 2009)

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Volume 62, Issue 6, Pages 862-875 (June 2009) The Brain under Self-Control: Modulation of Inhibitory and Monitoring Cortical Networks during Hypnotic Paralysis  Yann Cojan, Lakshmi Waber, Sophie Schwartz, Laurent Rossier, Alain Forster, Patrik Vuilleumier  Neuron  Volume 62, Issue 6, Pages 862-875 (June 2009) DOI: 10.1016/j.neuron.2009.05.021 Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 1 Activation during Preparation Phase Regions showing an increase in the PREP condition for the right > left/paralyzed hand (left section of the figure) and for the left/paralyzed > right hand (right section of the figure) in normal state (red), hypnosis (yellow, p < 0.001 uncorrected, k = 20 voxels), and simulation (green, p < 0.005 uncorrected, k = 40 voxels). Plots represent parameter estimates (beta values, error bars represent ±1 SEM for each column) for L-PREP (pink) and R-PREP (blue) in normal (NO), hypnosis (HYPNO), and simulation (SIM) conditions. Bilateral and symmetric activations can be seen in primary motor cortex in all cases. Increases in precuneus were observed under hypnosis for the left hand selectively (see text). Additional activity in somatosensory cortex was also seen during hypnosis and simulation. Neuron 2009 62, 862-875DOI: (10.1016/j.neuron.2009.05.021) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 2 Activations of the Primary Motor Cortex during Motor Execution Regions showing an increase to GO compared to NOGO trials in the normal state for the left (red) and right (yellow) hands (p < 0.001 uncorrected, k = 20 voxels). Plots represent the betas for L-GO and R-GO (yellow), plus L-NOGO and R-NOGO (blue) trials, respectively, in the normal, hypnosis, and simulation conditions. Error bars represent ±1 SEM for each column. Consistent with induced paralysis of the left hand, no right motor activation was observed during hypnosis and simulation for L-GO conditions, whereas the left primary motor cortex was activated for R-GO in all three conditions (see text). Neuron 2009 62, 862-875DOI: (10.1016/j.neuron.2009.05.021) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 3 Activation of Inhibitory Networks A contrast between NOGO > GO trials in the normal state (irrespective of hands) revealed increased activity in a bilateral but predominantly right hemisphere network including inferior frontal gyrus (IFG), posterior middle frontal gyrus (post-MFG), and inferior parietal lobule (IPL); threshold p < 0.001 uncorrected, k = 20 voxels. Plots represent the betas for L-GO and R-GO (yellow), plus L-NOGO and R-NOGO (blue) trials, respectively, in the normal, hypnosis, and simulation conditions. Error bars represent ±1 SEM for each column. Simulation produced similar increases during normal inhibition (NOGO trials) and feigned left hand paralysis (left GO trials), whereas hypnosis produced a very different pattern with increased activation in IFG and reduced activation in IPL in all NOGO and GO conditions (irrespective of hands; see text for statistical comparisons). Posterior MFG was selectively activated for L-GO during hypnosis, unlike NOGO activation in the normal condition. Neuron 2009 62, 862-875DOI: (10.1016/j.neuron.2009.05.021) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 4 Changes during Motor Response and Inhibition under Hypnosis A contrast between L-NOGO and R-NOGO trials in the hypnotic state showed selective increases in left prefrontal cortex (threshold p < 0.001 uncorrected, k = 20 voxels). Plots represent the betas for L-GO and R-GO (yellow), plus L-NOGO and R-NOGO (blue) trials, respectively, in the normal, hypnosis, and simulation conditions in the cluster defined by this contrast (peak xyz = −54, 27, 15). Error bars represent ±1 SEM for each column. Left inferior frontal gyrus showed increased activity for all left-hand trials (GO and NOGO) during hypnosis, but for NOGO trials with both hands during normal state (see text). In the simulation group, the same region showed a mixed pattern. Neuron 2009 62, 862-875DOI: (10.1016/j.neuron.2009.05.021) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 5 Functional Connectivity of the Right Primary Motor Cortex Regions showing an increase in correlated activity with the right M1 (blue seed) during the normal state as compared with the hypnotic state (i.e., right precuneus and right inferior parietal lobule, green), and conversely a decrease in correlated activity (i.e., right premotor cortex and left cerebellum, red) at a threshold p < 0.001 uncorrected, k = 5 voxels. The betas of connectivity with rM1 are plotted for each of these regions for the normal state, hypnosis, and simulation condition. Error bars represent ±1 SEM for each column. Neuron 2009 62, 862-875DOI: (10.1016/j.neuron.2009.05.021) Copyright © 2009 Elsevier Inc. Terms and Conditions