Functional topography of auditory areas derived from the combination of electrophysiological recordings and cortical electrical stimulation.
The posterior part of the superior temporal gyrus (STG) has long been known to be a crucial hub for auditory and language processing, at the crossroad of the functionally defined ventral and dorsal pathways. Anatomical studies have shown that this “auditory cortex” is composed of several cytoarchitectonic areas whose limits do not consistently match macro-anatomic landmarks like gyral and sulcal borders. The functional characterization of these areas derived from brain imaging studies has some limitations, even when high field functional magnetic resonance imaging (fMRI) is used, because of the variability observed in the extension of these areas between hemispheres and individuals. In patients implanted with depth electrodes, in vivo recordings and direct electrical stimulations of the different sub-parts of the posterior STG allow to delineate different auditory sub-fields in Heschl’s gyrus (HG), Planum Temporale (PT), the posterior part of the superior temporal gyrus anterior to HG, the posterior superior temporal sulcus (STS), and the region at the parietal-temporal boundary commonly labelled “Spt”. We describe how this delineation can be achieved using data from electrical cortical stimulation combined with local field potentials and time frequency analysis recorded as responses to pure tones and syllables. We show the differences in functional roles between the primary and non-primary auditory areas, in the left and the right hemispheres. We discuss how these findings help understanding the auditory semiology of certain epileptic seizures and, more generally, the neural substrate of hemispheric specialization for language.