Neural bases of the bodily self as revealed by electrical brain stimulation: A systematic review

Hum Brain Mapp. 2023 May;44(7):2936-2959. doi: 10.1002/hbm.26253. Epub 2023 Feb 28.

Abstract

An increasing amount of recent research has focused on the multisensory and neural bases of the bodily self. This pre-reflective form of self is considered as multifaceted, incorporating phenomenal components, such as self location, body ownership, first-person perspective, agency, and the perceptual body image. Direct electrical brain stimulation (EBS) during presurgical evaluation of epilepsy and brain tumor resection is a unique method to causally relate specific brain areas to the various phenomenal components of the bodily self. We conducted a systematic review of the literature describing altered phenomenal experience of the bodily self evoked by EBS. We included 42 articles and analyzed self reports from 221 patients. Three-dimensional density maps of EBS revealed that stimulation in the middle cingulum, inferior parietal lobule, supplementary motor area, posterior insula, hippocampal complex/amygdala, and precuneus most consistently altered one or several components of the bodily self. In addition, we found that only EBS in the parietal cortex induced disturbances of all five components of the bodily self considered in this review article. These findings inform current neuroscientific models of the bodily self.

Keywords: bodily self; electrical brain stimulation; epilepsy; parietal cortex; self consciousness.

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Image*
  • Brain* / physiology
  • Electric Stimulation
  • Humans
  • Parietal Lobe / physiology
  • Stereotaxic Techniques