Supplementary motor area and presupplementary motor area: Targets of basal ganglia and cerebellar output

We used retrograde transneuronal transport of neurotropic viruses in Cebus monkeys to examine the organization of basal ganglia and cerebellar projections to two cortical areas on the medial wall of the hemisphere, the supplementary motor area ( SMA) and the pre-SMA. We found that both of these cortical areas are the targets of disynaptic projections from the dentate nucleus of the cerebellum and from the internal segment of the globus pallidus ( GPi). On average, the number of pallidal neurons that project to the SMA and pre-SMA is approximately three to four times greater than the number of dentate neurons that project to these cortical areas. GPi neurons that project to the pre-SMA are located in a rostral, associative territory of the nucleus, whereas GPi neurons that project to the SMA are located in a more caudal and ventral sensorimotor territory. Similarly, dentate neurons that project to the pre-SMA are located in a ventral, nonmotor domain of the nucleus, whereas dentate neurons that project to the SMA are located in a more dorsal, motor domain. The differential origin of subcortical projections to the SMA and pre-SMA suggests that these cortical areas are nodes in distinct neural systems. Although both systems are the target of outputs from the basal ganglia and the cerebellum, these two cortical areas seem to be dominated by basal ganglia input.