Bilateral cingulotomy
Neuroimaging also uncovered different sub-regions in the anterior cingulate cortex itself based on their function. These studies showed that the caudal part of the anterior cingulate cortex plays a more important function in cognitive activities that involve attention, salience, interference and response competition. These results combined with electrophysiological investigation of the function of neurons in the anterior cingulate cortex have provided insights that can be used in the improvement of cingulotomy performed on patients treated for OCD. The basis behind this idea is the fact that a variation of certain tasks, Emotional Stroop tasks (ES), which have been particularly identified as exerting effects in OCD patients activate neurons in the more rostral part of the anterior cingulate cortex. Thus, theoretically if bilateral cingulotomy is performed in such patient in the rostral anterior cingulate cortex, better results should be obtained.
Trisynaptic circuit
The association cortex includes most of the cerebral surface of the brain and is responsible for processing that goes between the arrival of input in the primary sensory cortex and the generation of behaviour. Receives and integrates information from various parts of the brain and influences many cortical and subcortical targets. Inputs to the association cortices include the primary and secondary sensory and motor cortices, the thalamus, and the brain stem. The association cortex projects to places including the hippocampus, basal ganglia, and cerebellum, and other association cortices. Examination of patients with damages to one or more of these regions, as well as noninvasive brain imaging, it has been found that the association cortex is especially important for attending to complex stimuli in the external and internal environments. The temporal association cortex identifies the nature of stimuli, while the frontal association cortex plans behavioural responses to the stimuli.