More than fifteen years ago, neuroimagers found a region of the brain that seemed to be all about place. The region lies on the bottom surface of the temporal lobe near a fold called the parahippocampal gyrus, so it was called the parahippocampal place area, or PPA. You have two PPAs: one on the left side of your brain and one on the right. If you look at a picture of a house, an outdoor or indoor scene, or even an empty room, your PPAs will take notice. Since its discovery, hundreds of experiments have probed the place predilections of the PPA. Each time, the region demonstrated its dogged devotion to place. Less clear was exactly what type of scene information the PPA was representing and what it was doing with that information. A recent scientific paper now gives us a rare, direct glimpse at the inner workings of the PPA through the experience of a young man whose right PPA was stimulated with electrodes.
The young man in question wasn’t an overzealous grad student. He was a patient with severe epilepsy who was at the hospital to undergo brain surgery. When medications can’t bring a person’s seizures under control, surgery is one of few remaining option. The surgery involves removing the portion of the brain in which that patient’s seizures begin. Of course, removing brain tissue is not something one does lightly. Before a surgery, doctors use various techniques to determine in each patient where the seizures originate and also where crucial regions involved in language and movement are located. They do this so they will know which part of the brain to remove and which parts they must be sure not to remove. One of the ways of mapping these areas before surgery is to open the patient’s skull, plant electrodes into his or her brain, and monitor brain activity at the various electrode sites. This technique, called electrocorticography, allows doctors to both record brain activity and electrically stimulate the brain to map key areas. It is also the most powerful and direct look scientists can get into the human brain.
A group of researchers in New York headed by Ashesh Mehta and Pierre Mégevand documented the responses of the young man as they stimulated electrodes that were planted in and around his right PPA. During one stimulation, he described seeing a train station from the neighborhood where he lives. During another, he reported seeing a staircase and a closet stuffed with something blue. When they repeated the stimulation, he saw the same random indoor scene again. So stimulating the PPA can cause hallucinations of scenes that are both indoor and outdoor, familiar or unfamiliar. This suggests that specific scene representations in the brain may be both highly localized and complex. It is also just incredibly cool.
The doctor also stimulated an area involved in face processing and found that this made the patient see distortions in a face. Another study published in 2012 showed a similar effect in a different patient. While the patient looked at his doctor, the doctor stimulated the face area. As the patient reported, “You just turned into somebody else. Your face metamorphosed.” Here’s a link to a great video of that patient’s entire reaction and description.
The authors of the new study also stimulated a nearby region that had shown a complex response to both faces and scenes is previous testing. When they zapped this area, the patient saw something that made him chuckle. “I’m sorry. . . You all looked Italian. . . Like you were working in a pizza shop. That’s what I saw, aprons and whatnot. Yeah, almost like you were working in a pizzeria.”
Now wouldn’t we all love to know what that area does?
*In case you’re wondering, the patient underwent surgery and no longer suffers from seizures (although he still experiences auras).
Mégevand P, Groppe DM, Goldfinger MS, Hwang ST, Kingsley PB, Davidesco I, & Mehta AD (2014). Seeing scenes: topographic visual hallucinations evoked by direct electrical stimulation of the parahippocampal place area. The Journal of neuroscience : the official journal of the Society for Neuroscience, 34 (16), 5399-405 PMID: 24741031