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September 17, 2026Nature NeuroscienceOpen Access

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

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Authors

CSClara Kwon StarkweatherEWEthan H. WillbrandKSKristin K. Sellers

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Overview

Electrophysiological study uncovers distinct orbitofrontal dynamics during conflict in humans, revealing rapid state switching during approach–avoidance decisions.

Key Points

  • To determine real-time neural computations and functional architecture within the human orbitofrontal cortex during approach–avoidance conflict.
  • Obtained intracranial recordings from human subjects implanted with stereotactic electroencephalography (sEEG) electrodes in the orbitofrontal cortex.
  • Evaluated real-time electrophysiological dynamics while participants completed a gamified approach–avoidance conflict task involving potential rewards and punishments.
  • Approaching a reward was preceded by an increase in medial orbitofrontal cortex activity and a concurrent decrease in lateral orbitofrontal cortex activity.
  • Neural activity within the orbitofrontal cortex rapidly alternated between discrete pro-approach and pro-avoidant states immediately before a decision was made.

Cite This Study

Starkweather et al. (2026) studied this question.

synapsesocial.com/papers/6aabb5fd5f706d05830e4619https://doi.org/10.1038/s41593-026-02444-4
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