A third somatomotor representation in the human cerebellum.

Seminal neurophysiological studies in the 1940s discovered two somatomotor maps in the cerebellum-an inverted anterior lobe map and an upright posterior lobe map. Both maps have been confirmed in the human using noninvasive neuroimaging with additional hints of a third map within and near to the cerebellar vermis. Here, we sought direct evidence for the third somatomotor map by using intensive, repeated functional MRI (fMRI) scanning of individuals performing movements across multiple body parts (tongue, hands, glutes, and feet). An initial discovery sample (<i>n</i> = 4, 4 sessions per individual including 576 separate blocks of body movements) yielded evidence for the two established cerebellar somatomotor maps, as well as evidence for a third discontinuous foot representation within the vermis. When the left versus right foot movements were directly contrasted, the third representation could be clearly distinguished from the second representation in multiple individuals. Functional connectivity from seed regions in the third somatomotor representation confirmed anatomically specific connectivity with the cerebral cortex, paralleling the patterns observed for the two well-established maps. All results were prospectively replicated in an independent dataset with new individuals (<i>n</i> = 4). These collective findings provide direct support for a third somatomotor representation in the vermis of the cerebellum that may be part of a third map. We discuss the relations of this candidate third map to the broader topography of the cerebellum as well as its implications for understanding the specific organization of the human cerebellar vermis where distinct zones appear functionally specialized for somatomotor and visual domains.<b>NEW &amp; NOTEWORTHY</b> A third somatomotor representation exists in the vermis of the human cerebellum. Evidence for this elusive representation arises specifically from mapping the foot. Separate foot representations distinguish the third from the nearby second somatomotor representation. A third somatomotor representation in the posterior vermis supports a large-scale organization hypothesis in which the cerebellum possesses three sets of roughly homotopic representations of the full cerebrum.