November 1991

An Emerging ConceptThe Cerebellar Contribution to Higher Function

Author Affiliations

From the Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston.

Arch Neurol. 1991;48(11):1178-1187. doi:10.1001/archneur.1991.00530230086029

• Recent clinical and research reports suggest that the cerebellum may contribute to the modulation of higher order behavior. This article presents a critical review of both earlier and more current clinical observations that raise this possibility, as well as a review of the salient laboratory data that appear to support this contention. It also summarizes the relevant anatomic work concerning the contributions to the cortico-pontocerebellar pathways from the higher order cerebral association areas, which have been implicated as partial anatomic substrates for this putative cerebellar role in higher function. Finally, it provides a framework for the understanding of this correlation, concludes with suggestions for future areas of investigation, and recommends that patients with cerebellar lesions be studied from a neurobehavioral point of view.