A direct prefrontotectal tract against distractibility in the human brain

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Abstract
Distractibility, which can be defined as an attention deficit in which orientation toward irrelevant targets can be hardly inhibited, is commonly related to a dysfunction of the dorsolateral prefrontal cortex. Here, we show that increased distractibility, observed in a patient with an exceptionally small lesion located in the upper brainstem, may result from the interruption of a direct tract that connects the prefrontal cortex to the superior colliculus, a structure involved in both eye movement control and attentional shifts. Ann Neurol 2003;53:542–545