PofoliaShared via Pofolia

Nature Neuroscience· 2026Q1

Intracranial recordings in humans reveal differential contributions of medial and lateral orbitofrontal cortex to approach–avoidance decision-making

Clara Kwon Starkweather, Ethan H. Willbrand, Kristin K. Sellers, Patrick W. Hullett et al.

Short summary

Intracranial recordings in humans show distinct medial and lateral orbitofrontal cortex (OFC) activity patterns preceding approach decisions, suggesting a new functional architecture within the OFC for handling approach-avoidance conflicts.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Distinct medial and lateral OFC activity signals were identified prior to approach decisions in humans.
  • Medial OFC showed increased activity, while lateral OFC showed decreased activity before approach.
  • These signals rapidly alternated between pro-approach and pro-avoidant states.
  • The findings suggest a new functional architecture within the human OFC for approach-avoidance decision-making.

AI-generated from the title and abstract; the full text is not read.

Abstract

Abstract Approach–avoidance refers to the psychological conflict in which deciding to approach a reward also carries potential punishment. The orbitofrontal cortex (OFC) is proposed to arbitrate approach–avoidance decisions, yet little is known about the real-time computations within OFC during these decisions. We conducted intracranial recordings in humans implanted with stereotactic electroencephalography electrodes in the OFC while they played a gamified approach–avoidance task. Here we identified two anatomically distinct signals within the OFC prior to approach: an increase in activity within the medial compartment and a decrease within the lateral compartment. Prior to decisions, these signals rapidly alternated between discrete pro-approach and pro-avoidant states, thus introducing a new functional architecture within the human OFC during decision-making.

The authors' abstract, as published at the source. Nature Neuroscience, 2026 · DOI ↗

TakeawaysPremium
Ask the paperFree account

Continue with a free account

Ask the paper: 3 free questions a day about this paper; save it, get its citation, new summaries every day for your field. Takeaways are Premium.

Continue free on the web

Sign in with Google or Apple; no card needed. You come back to this paper.

On your phone:

Field: Cognitive Neuroscience

Cognitive NeuroscienceNeuroscience