Behavioral inhibition and prefrontal cortex in decision-making

Every day we make innumerable decisions; some require no effort at all whereas others require considerable deliberation and weighing of various options. Despite the importance of decision-making in our lives and increased research interest, the specific neural mechanisms underlying decision-making remain unclear. We propose that the brain has at least two cortical pathways that independently generate a decision about appropriate behavior in given circumstances. These two pathways are extensions of the dorsal and ventral streams of the visual processing pathways. The parieto-premotor (extended dorsal) pathway makes decisions about motor actions in a largely autonomous and automatic fashion whereas the temporo-ventrolateral prefrontal (extended ventral) pathway is involved primarily in deliberate decisions and inhibitory control over behavior through the inhibitory function of the ventrolateral prefrontal cortex. (c) 2006 Elsevier Ltd. All rights reserved.