Activation of the motor cortex during phasic rapid eye movement sleep
Open accessAbstract
When dreaming during rapid eye movement (REM) sleep, we can perform complex motor behaviors while remaining motionless. How the motor cortex behaves during this state remains unknown. Here, using intracerebral electrodes sampling the human motor cortex in pharmacoresistant epileptic patients, we report a pattern of electroencephalographic activation during REM sleep similar to that observed during the performance of a voluntary movement during wakefulness. This pattern is present during phasic REM sleep but not during tonic REM sleep, the latter resembling relaxed wakefulness. This finding may help clarify certain phenomenological aspects observed in REM sleep behavior disorder.
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Remarkable activation of motor and premotor regions has been found in healthy subjects during REM sleep.
“remarkable activation of motor and premotor regions has been found in healthy subjects during REM sleep”
From The Functional Role of Dreaming in Emotional Processes (2019) · cites this paper as De Carli et al., 2016
The Abstract and Discussion report motor-cortex activation during phasic REM sleep, but not tonic REM sleep. The Methods identify the participants as seven patients with drug-resistant epilepsy, not healthy subjects, and the cited passages do not establish activation of premotor regions. No page numbers are provided in our copy. (LLM, conf=0.90)
Experimental — accuracy not yet measuredActivation of midcingulate during REM sleep is consistent with previous imaging data finding critical activation in sensory and motor cortices, as midcingulate involves behavioral/motor responses to danger.
“Not surprisingly, also the activation of midcingulate during REM sleep is consistent with previous imaging data that found a critical activation in sensory and motor cortices (De Carli et al., 2016), since that it is a region involving the behavioral/motor responses to danger (Pereira et al., 2010).”
From The Functional Role of Dreaming in Emotional Processes (2019) · cites this paper as De Carli et al., 2016
The Abstract and Discussion report activation of the motor cortex during phasic REM sleep, supporting the motor-cortex portion of the claim. De Carli et al. used intracerebral EEG, not imaging, and their own result does not establish activation of sensory cortex or the midcingulate. The statement about midcingulate responses to danger is attributed to a different citation and is not assessed here. (LLM, conf=0.87)
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The microstructure of REM sleep: Why phasic and tonic?
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Regional variability in intracerebral properties of NREM to REM sleep transitions in humans
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- Authors
- De Carli, F., Proserpio, P., Morrone, E., Sartori, I., Ferrara, M., Gibbs, S. A., De Gennaro, L., Lo Russo, G., & Nobili, L.
- Affiliations
- Institute of Bioimaging and Molecular Physiology, Genoa Section, National Research Council Genoa
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- University of Genoa (IT)
- Department of Life, Health, and Environmental Sciences University of L'Aquila L'Aquila
- Department of Psychology Sapienza University of Rome Rome Italy
- C. Munari Center of Epilepsy Surgery, Niguarda Hospital Milan
- Corresponding author
- Nobili, Lino
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2016-01-18
- Volume
- 79
- Issue
- 2
- Pages
- 326-330
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- PMC
- PMC5066659
- OpenAlex
- W2176108526
- Cited by
- 81
- References
- 23
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 6 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 10 · 2019: 11 · 2018: 7 · 2017: 4 · 2016: 5
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Annals of Neurology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion, cc-by-nc-nd)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion, other-oa)
- Funders
- Italian Ministry of Health (RF-2010-2319316)
- Quebec Health Research Fund
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Epidemiology › Restless Legs Syndrome Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- motor cortex, REM sleep, REM sleep behavior disorder, intracranial EEG, epilepsy patients, voluntary movement, REM sleep paradox
- MeSH terms
- Electrocorticography, Adult, Epilepsy, Female, Humans, Male, Motor Cortex, Preoperative Care, Sleep, REM, Young Adult
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