The precuneus and consciousness
Abstract
This article reviews the rapidly growing literature on the functional anatomy and behavioral correlates of the precuneus, with special reference to imaging neuroscience studies using hamodynamic techniques. The precuneus, along with adjacent areas within the posteromedial parietal cortex, is among the most active cortical regions according to the "default mode" of brain function during the conscious resting state, whereas it selectively deactivates in a number of pathophysiological conditions (ie, sleep, vegetative state, drug-induced anesthesia), and neuropsychiatric disorders (ie, epilepsy, Alzheimer's disease, and schizophrenia) characterized by impaired consciousness. These findings, along with the widespread connectivity pattern, suggest that the precuneus may play a central role in the neural network correlates of consciousness. Specifically, its activity seems to correlate with self-reflection processes, possibly involving mental imagery and episodic/autobiographical memory retrieval.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Enhanced PCC connectivity during rest may represent an increase in ongoing self-referential processes such as self-consciousness, sense of agency, and self-reflection.
“Enhanced PCC connectivity during rest may represent an increase in ongoing self-referential processes such as self-consciousness, sense of agency, and selfreflection (Cavanna, 2007;Cavanna et al., 2006).”
From Oxytocin effects on complex brain networks are moderated by experiences of maternal love withdrawal (2013) · cites this paper as Cavanna, 2007
Cites
A default mode of brain function
Raichle, M. E., MacLeod, A. M., Snyder, A. Z., Powers, W. J., Gusnard, D. A., & Shulman, G. L. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.98.2.676 · Cited by 12,190 · see citing works
Co-Planar Stereotaxic Atlas of the Human Brain
Talairach, J., & Tournoux, P. (1988) · Medical Entomology and Zoology · Cited by 11,798 · see citing works
Co-planar stereotaxic atlas of the human brain
Laitinen, L. (1989) · Clinical Neurology and Neurosurgery · doi:10.1016/0303-8467(89)90128-5 · Cited by 7,565 · see citing works
Functional connectivity in the resting brain: a network analysis of the default mode hypothesis
Greicius, M. D., Krasnow, B., Reiss, A. L., & Menon, V. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0135058100 · Cited by 6,358 · see citing works
The precuneus: a review of its functional anatomy and behavioural correlates
Cavanna, A. E., & Trimble, M. R. (2006) · Brain · doi:10.1093/brain/awl004 · Cited by 5,128 · see citing works
Self-citation(2005) · Choice Reviews Online · doi:10.5860/choice.43-0626 · Cited by 4,726 · see citing works
Greicius, M. D., Srivastava, G., Reiss, A. L., & Menon, V. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0308627101 · Cited by 3,684 · see citing works
Searching for a baseline: Functional imaging and the resting human brain
Gusnard, D. A., & Raichle, M. E. (2001) · Nature Reviews Neuroscience · doi:10.1038/35094500 · Cited by 3,371 · see citing works
(1909) · Cited by 2,575 · see citing works
Buckner, R. L., Snyder, A. Z., Shannon, B. J., LaRossa, G., Sachs, R., Fotenos, A. F., Sheline, Y. I., Klunk, W. E., Mathis, C. A., Morris, J. C., et al. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.2177-05.2005 · Cited by 2,140 · see citing works
Frackowiak, R. S. J. (1997) · Cited by 1,713 · see citing works
Critchley, M. (1966) · Medical Entomology and Zoology · Cited by 1,416 · see citing works
Schizophrenia, consciousness, and the self
Sass, L. A., & Parnas, J. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007017 · Cited by 1,324 · see citing works
Regional cerebral blood flow throughout the sleep-wake cycle. An H2(15)O PET study
Braun, A. (1997) · Brain · doi:10.1093/brain/120.7.1173 · Cited by 1,268 · see citing works
Functional neuroanatomy of human rapid-eye-movement sleep and dreaming
Maquet, P., Péters, J.-M., Aerts, J., Delfiore, G., Degueldre, C., Luxen, A., & Franck, G. (1996) · Nature · doi:10.1038/383163a0 · Cited by 1,168 · see citing works
A Parametric Manipulation of Factors Affecting Task-induced Deactivation in Functional Neuroimaging
McKiernan, K. A., Kaufman, J. N., Kucera-Thompson, J., & Binder, J. R. (2003) · Journal of Cognitive Neuroscience · doi:10.1162/089892903321593117 · Cited by 1,080 · see citing works
Conceptual Processing during the Conscious Resting State: A Functional MRI Study
Binder, J. R., Frost, J. A., Hammeke, T. A., Bellgowan, P. S. F., Rao, S. M., & Cox, R. W. (1999) · Journal of Cognitive Neuroscience · doi:10.1162/089892999563265 · Cited by 1,066 · see citing works
Brain function in coma, vegetative state, and related disorders
Laureys, S., Owen, A. M., & Schiff, N. D. (2004) · The Lancet Neurology · doi:10.1016/s1474-4422(04)00852-x · Cited by 1,033 · see citing works
Separating the brain regions involved in recollection and familiarity in recognition memory
Yonelinas, A. P., Otten, L. J., Shaw, K. N., & Rugg, M. D. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.5295-04.2005 · Cited by 813 · see citing works
Intrinsic connections and architectonics of posterior parietal cortex in the rhesus monkey
Pandya, D. Ν., & Seltzer, B. (1982) · The Journal of Comparative Neurology · doi:10.1002/cne.902040208 · Cited by 726 · see citing works
Functional deactivations: Change with age and dementia of the Alzheimer type
Lustig, C., Snyder, A. Z., Bhakta, M., O'Brien, K. C., McAvoy, M., Raichle, M. E., Morris, J. C., & Buckner, R. L. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2235925100 · Cited by 720 · see citing works
The mind's eye – precuneus activation in memory-related imagery
Fletcher, P. C., Frith, C. D., Baker, S. C., Shallice, T., Frackowiak, R. S. J., & Dolan, R. J. (1995) · NeuroImage · doi:10.1006/nimg.1995.1025 · Cited by 680 · cited 1× · see citing works
“Moreover, the precuneus and the other "hot spots" that characterize the default mode of the resting state have been consistently shown to be activated in such processes as retrieval or consolidation of episodic memory (especially with vivid imagery and autobiographical contents [seeTrimble and Cavanna(46)]), and consc…”
BackgroundParietal cortex and representation of the mental Self
Lou, H. C., Luber, B., Crupain, M., Keenan, J. P., Nowak, M., Kjaer, T. W., Sackeim, H. A., & Lisanby, S. H. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0400049101 · Cited by 631 · see citing works
Neural correlates of the first-person-perspective
Vogeley, K., & Fink, G. R. (2003) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(02)00003-7 · Cited by 611 · see citing works
Gotman, J., Grova, C., Bagshaw, A. P., Kobayashi, E., Aghakhani, Y., & Dubeau, F. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0504935102 · Cited by 586 · see citing works
Functional Neuroanatomy of Human Slow Wave Sleep
Maquet, P., Degueldre, C., Delfiore, G., Aerts, J. J., Peters, J., Luxen, A., & Franck, G. (1997) · Journal of Neuroscience · doi:10.1523/jneurosci.17-08-02807.1997 · Cited by 514 · see citing works
Vogt, B. A., & Laureys, S. (2005) · Progress in brain research · doi:10.1016/s0079-6123(05)50015-3 · Cited by 497 · see citing works
Fiset, P., Paus, T., Daloze, T., Plourde, G., Meuret, P., Bonhomme, V., Hajj-Ali, N., Backman, S. B., & Evans, A. C. (1999) · The Journal of Neuroscience · doi:10.1523/jneurosci.19-13-05506.1999 · Cited by 475 · see citing works
Cerebral mechanisms of hypnotic induction and suggestion
Rainville, P., Hofbauer, R. K., Paus, T., Duncan, G. H., Bushnell, M. C., & Price, D. D. (1999) · Journal of Cognitive Neuroscience · doi:10.1162/089892999563175 · Cited by 468 · see citing works
Distinct neural systems subserve person and object knowledge
Mitchell, J. P., Heatherton, T. F., & Macrae, C. N. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.232395699 · Cited by 407 · see citing works
Kjaer, T. W., Nowak, M., & Lou, H. C. (2002) · NeuroImage · doi:10.1006/nimg.2002.1230 · Cited by 395 · see citing works
Effects of Healthy Aging on Hippocampal and Rhinal Memory Functions: An Event-Related fMRI Study
Daselaar, S. M., Fleck, M. S., Dobbins, I. G., Madden, D. J., & Cabeza, R. (2005) · Cerebral Cortex · doi:10.1093/cercor/bhj112 · Cited by 392 · see citing works
Impaired Effective Cortical Connectivity in Vegetative State: Preliminary Investigation Using PET
Laureys, S., Goldman, S., Phillips, C. L. M., Bogaert, P. V., Aerts, J. J., Luxen, A., Franck, G., & Maquet, P. (1999) · NeuroImage · doi:10.1006/nimg.1998.0414 · Cited by 382 · see citing works
Does the brain have a baseline? Why we should be resisting a rest
Morcom, A. M., & Fletcher, P. C. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2006.09.013 · Cited by 369 · see citing works
Daselaar, S. M., Rice, H. J., Greenberg, D. L., Cabeza, R., LaBar, K. S., & Rubin, D. C. (2008) · Cerebral Cortex · doi:10.1093/cercor/bhm048 · Cited by 341 · see citing works
Sex Differences in Regional Cerebral Glucose Metabolism During a Resting State
Gur, R. C., Mozley, L. H., Mozley, P. D., Resnick, S. M., Karp, J. S., Alavi, A. A., Arnold, S. E., & Gur, R. E. (1995) · Science · doi:10.1126/science.7824953 · Cited by 340 · see citing works
Connections of the medial posterior parietal cortex (area 7m) in the monkey
Leichnetz, G. R. (2001) · The Anatomical Record · doi:10.1002/ar.1082 · Cited by 318 · see citing works
Neural connections of the posteromedial cortex in the macaque
Parvizi, J., Hoesen, G. W. V., Buckwalter, J. A., V, & Damásio, A. R. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0507729103 · Cited by 313 · see citing works
Connections of the Monkey Cingulate Cortex
Hoesen, G. W. V., Morecraft, R. J., & Vogt, B. A. (1993) · Birkhäuser Boston eBooks · doi:10.1007/978-1-4899-6704-6_9 · Cited by 276 · see citing works
EEG–fMRI of idiopathic and secondarily generalized epilepsies
Hamandi, K., Salek‐Haddadi, A., Laufs, H., Liston, A. D., Friston, K. J., Fish, D. R., Duncan, J. S., & Lemieux, L. (2006) · NeuroImage · doi:10.1016/j.neuroimage.2006.02.016 · Cited by 274 · see citing works
Functional neuroanatomy of hypnotic state
Maquet, P., Faymonville, M. E., Degueldre, C., Delfiore, G., Franck, G., Luxen, A., & Lamy, M. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(97)00546-5 · Cited by 245 · see citing works
Alkire, M. T., Pomfrett, C. J. D., Haier, R. J., Gianzero, M. V., Chan, C. M., Jacobsen, B. P., & Fallon, J. H. (1999) · Anesthesiology · doi:10.1097/00000542-199903000-00011 · Cited by 221 · see citing works
Laufs, H., Lengler, U., Hamandi, K., Kleinschmidt, A. K., & Krakow, K. (2006) · Epilepsia · doi:10.1111/j.1528-1167.2006.00443.x · Cited by 199 · see citing works
Consciousness and epilepsy: why are patients with absence seizures absent?
Blumenfeld, H. (2005) · Progress in Brain Research · doi:10.1016/s0079-6123(05)50020-7 · Cited by 195 · see citing works
SPECT perfusion changes during complex partial seizures in patients with hippocampal sclerosis
Paesschen, W. V., Dupont, P. J., Driel, G. V., Billoen, H. V., & Maes, A. (2003) · Brain · doi:10.1093/brain/awg108 · Cited by 174 · see citing works
Task-induced deactivation of midline cortical regions in schizophrenia assessed with fMRI
Harrison, B. J., Yücel, M., Pujol, J., & Pantelis, C. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2006.12.027 · Cited by 166 · see citing works
Precuneus–Prefrontal Activity during Awareness of Visual Verbal Stimuli
Kjær, T. W., Nowak, M., Kjaer, K. W., Lou, A. R., & LOU, H. C. (2001) · Consciousness and Cognition · doi:10.1006/ccog.2001.0509 · Cited by 89 · see citing works
The human parietal cortex: a novel approach to its architectonic mapping.
Zilles, K., Eickhoff, S. B., & Palomero‐Gallagher, N. (2003) · PubMed · Cited by 55 · see citing works
Consciousness, epilepsy, and emotional qualia
Monaco, F., Mula, M., & Cavanna, A. E. (2005) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2005.05.018 · Cited by 52 · see citing works
Self-citationFoville, A. (1844) · Medical Entomology and Zoology · Cited by 27 · see citing works
The New Perspectives in fMRI Research Award: Exploring Patterns of Default-Mode Brain Activity
Horn, J. D. V. (2004) · Journal of Cognitive Neuroscience · doi:10.1162/0898929042568460 · Cited by 8 · see citing works
Body Image and the Parietal Lobes
Trimble, M. (2007) · CNS Spectrums · doi:10.1017/s1092852900021283 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Precuneus shares intrinsic functional architecture in humans and monkeys
Margulies, D. S., Vincent, J. L., Kelly, C., Lohmann, G., Uddin, L. Q., Biswal, B. B., Villringer, A., Castellanos, F. X., Milham, M. P., & Petrides, M. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0905314106 · Cited by 965 · see citing works
Vanhaudenhuyse, A., Noirhomme, Q., Tshibanda, L. J.-F., Bruno, M.-A., Boveroux, P., Schnakers, C., Soddu, A., Perlbarg, V., Ledoux, D., Brichant, J.-F., et al. (2010) · Brain · doi:10.1093/brain/awp313 · Cited by 911 · see citing works
Zhu, X., Wang, X., Xiao, J., Liao, J., Zhong, M., Wang, W., & Yao, S. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2011.10.035 · Cited by 638 · see citing works
Functional reorganization of the default mode network across chronic pain conditions
Baliki, M. N., Mansour, A. R., Baria, A. T., & Apkarian, A. V. (2014) · PLoS ONE · doi:10.1371/journal.pone.0106133 · Cited by 532 · see citing works
The default mode network and recurrent depression: A neurobiological model of cognitive risk factors
Marchetti, I., Koster, E. H. W., Sonuga-Barke, E. J., & De Raedt, R. (2012) · Neuropsychology Review · doi:10.1007/s11065-012-9199-9 · Cited by 287 · see citing works
Slow-wave activity saturation and thalamocortical isolation during propofol anesthesia in humans
Ní Mhuircheartaigh, R., Warnaby, C., Rogers, R., Jbabdi, S., & Tracey, I. (2013) · Science Translational Medicine · doi:10.1126/scitranslmed.3006007 · Cited by 202 · see citing works
Foland-Ross, L. C., & Gotlib, I. H. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00489 · Cited by 197 · see citing works
Cojan, Y., Waber, L., Schwartz, S., Rossier, L., Forster, A., & Vuilleumier, P. (2009) · Neuron · doi:10.1016/j.neuron.2009.05.021 · Cited by 189 · see citing works
Neuroanatomic correlates of psychogenic nonepileptic seizures: A cortical thickness and VBM study
Labate, A., Cerasa, A., Mula, M., Mumoli, L., Gioia, M. C., Aguglia, U., Quattrone, A., & Gambardella, A. (2012) · Epilepsia · doi:10.1111/j.1528-1167.2011.03347.x · Cited by 171 · see citing works
Freton, M., Lemogne, C., Bergouignan, L., Delaveau, P., Lehéricy, S., & Fossati, P. (2014) · Brain Structure and Function · doi:10.1007/s00429-013-0546-2 · Cited by 164 · see citing works
Tomasi, D., Volkow, N. D., Wang, R., Telang, F., Wang, G.-J., Chang, L., Ernst, T., & Fowler, J. S. (2009) · PLoS ONE · doi:10.1371/journal.pone.0006102 · Cited by 154 · see citing works
Liang, M.-J., Zhou, Q., Yang, K.-R., Yang, X.-L., Fang, J., Chen, W.-L., & Huang, Z. (2013) · PLoS ONE · doi:10.1371/journal.pone.0079999 · Cited by 135 · see citing works
The Neural Correlates of Consciousness and Attention: Two Sister Processes of the Brain
Nani, A., Manuello, J., Mancuso, L., Liloia, D., Costa, T., & Cauda, F. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01169 · Cited by 119 · see citing works
Functional MRI reveals different response inhibition between adults and children with ADHD
Lei, D., Du, M., Wu, M., Chen, T., Huang, X., Du, X., Bi, F., Kemp, G. J., & Gong, Q. (2015) · Neuropsychology · doi:10.1037/neu0000200 · Cited by 91 · see citing works
Oxytocin effects on complex brain networks are moderated by experiences of maternal love withdrawal
Riem, M. M. E., van IJzendoorn, M. H., Tops, M., Boksem, M. A. S., Rombouts, S. A. R. B., & Bakermans-Kranenburg, M. J. (2013) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.01.011 · Cited by 91 · see citing works
Cao, J., Chen, J.-M., Kuang, L., Ai, M., Fang, W.-D., Gan, Y., Wang, W., Chen, X.-R., Xu, X.-M., Wang, H.-G., et al. (2015) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2014.10.011 · Cited by 64 · see citing works
Consciousness and cortical responsiveness: a within-state study during non-rapid eye movement sleep
Nieminen, J. O., Gosseries, O., Massimini, M., Saad, E., Sheldon, A. D., Boly, M., Siclari, F., Postle, B. R., & Tononi, G. (2016) · Scientific Reports · doi:10.1038/srep30932 · Cited by 61 · see citing works
Quevedo, K., Ng, R., Scott, H., Kodavaganti, S., Smyda, G., Diwadkar, V., & Phillips, M. (2017) · Biological Psychology · doi:10.1016/j.biopsycho.2016.11.004 · Cited by 53 · see citing works
Nardo, D., Högberg, G., Flumeri, F., Jacobsson, H., Larsson, S. A., Hällström, T., & Pagani, M. (2011) · Psychological Medicine · doi:10.1017/s0033291711000912 · Cited by 41 · see citing works
Towards an integrative theory of consciousness: Part 1 (Neurobiological and cognitive models)
De Sousa, A. (2013) · Mens Sana Monographs · doi:10.4103/0973-1229.109335 · Cited by 33 · see citing works
Subliminal (latent) processing of pain and its evolution to conscious awareness
Borsook, D., Youssef, A. M., Barakat, N., Sieberg, C. B., & Elman, I. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.02.015 · Cited by 21 · see citing works
van Hoof, M.-J., Riem, M. M. E., Garrett, A. S., van der Wee, N. J. A., van IJzendoorn, M. H., & Vermeiren, R. R. J. M. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2019.1583525 · Cited by 14 · see citing works
- Authors
- Cavanna, A. E.
- Affiliations
- National Hospital for Neurology and Neurosurgery (GB)
- Corresponding author
- Cavanna, Andrea E.
- ORCID
- Cavanna, Andrea E.
- Venue
- CNS Spectrums
- Publisher
- Cambridge University Press (CUP)
- Published
- 2007-07
- Volume
- 12
- Issue
- 7
- Pages
- 545-552
- ISSN
- 1092-8529 (ISSN-L)
- 2165-6509
- OpenAlex
- W1761383808
- Cited by
- 363
- References
- 53
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 22 · 2023: 19 · 2022: 20 · 2021: 26 · 2020: 28 · 2019: 14 · 2018: 16 · 2017: 25 · 2016: 17 · 2015: 21 · 2014: 19 · 2013: 30 · 2012: 22
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CNS Spectrums (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Philosophy and Theoretical Science
- Life Sciences › Neuroscience › Cognitive Neuroscience › Mind wandering and attention
- Keywords
- precuneus, consciousness, default mode network, neural correlates of consciousness, resting state, brain deactivation, sleep, vegetative state, anesthesia, epilepsy, Alzheimer's disease, schizophrenia, self-reflection, mental imagery, episodic memory retrieval
- MeSH terms
- Anesthesia, Mental Disorders, Brain, Brain Diseases, Consciousness, Humans, Nerve Net, Parietal Lobe, Sleep, Persistent Vegetative State
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review