Me and my shadow
Stimulation of a site on the brain's left hemisphere prompts the creepy feeling that somebody is close by.
The strange sensation that somebody is nearby when no one is actually present has been described by psychiatric and neurological patients, as well as by healthy subjects, but it is not understood how the illusion is triggered by the brain1, 2. Here we describe the repeated induction of this sensation in a patient who was undergoing presurgical evaluation for epilepsy treatment, as a result of focal electrical stimulation of the left temporoparietal junction: the illusory person closely 'shadowed' changes in the patient's body position and posture. These perceptions may have been due to a disturbance in the multisensory processing of body and self at the temporoparietal junction.
The patient was a 22-year-old woman of normal psychiatric history who was undergoing evaluation for surgical treatment of epilepsy (see supplementary information). We identified an area on the left temporoparietal junction in her brain (Fig. 1a) where focal electrical stimulation repeatedly produced a feeling of the presence of another person in her extrapersonal space.
a, Three-dimensional surface reconstruction of the left hemisphere of the brain from magnetic resonance imaging. Subdural electrodes were implanted in the brain of an epileptic patient undergoing presurgical evaluation10. The locations at which focal electrical stimulation evoked different responses are shown (red, motor; blue, somatosensory; green, language; pink, site where 'feeling of a presence' could be induced (arrow)); stars indicate the epileptic focus. Since undergoing a left-temporal lobectomy, the patient has been free of seizures. b–d, Drawings showing relative positions and postures of the patient's body (white) and that of the illusory person (shaded) during cortical stimulation (illustrations, M. Boyer).
Reference : Nature 443, 287(21 September 2006) | doi:10.1038/443287a; Received 19 July 2006; Accepted 25 August 2006; Published online 20 September 2006