Linking the 10–20 System to Brodmann Areas: From Scalp Landmarks to Cortical Function

Introduction

The International 10–20 system gives us a reliable way to locate points on the scalp for EEG, rTMS, and other brain mapping techniques.
But clinicians and neuroscientists often need more than scalp coordinates — they need to understand what cortical regions lie underneath.

This is where Brodmann areas (BAs) come in. Developed by Korbinian Brodmann in the early 20th century, this cytoarchitectonic map divides the cortex into numbered areas based on cell structure.
By linking 10–20 positions to BAs, we can translate scalp landmarks into functional brain regions.

Why This Mapping Matters

  • rTMS → Helps target functionally relevant brain areas (e.g., BA46 in depression).

  • EEG → Interpreting focal abnormalities (e.g., BA17 in occipital seizures).

  • Neuropsychology → Relating cognitive deficits to electrode positions.

  • Research → Linking behavioural tasks to underlying cortical networks.

Mapping Principles

  1. The 10–20 system gives surface landmarks, not exact cortical points.

  2. Underlying BAs are approximate due to:

    • Skull shape variability

    • Cortical folding patterns

    • Individual brain size differences

  3. MRI-based mapping offers the most precise localisation, but scalp–BA correlations remain valuable in practice.

Approximate Correspondence Table

10–20 Position Approx. Cortical Location Brodmann Areas Functional Relevance
Fp1, Fp2 Superior & middle frontal gyrus (frontal pole) BA10 Strategic planning, social cognition
F3 Left dorsolateral prefrontal cortex BA9, BA46 Working memory, executive control
F4 Right dorsolateral prefrontal cortex BA9, BA46 Attention, cognitive flexibility
F7 Left inferior frontal gyrus (Broca’s area) BA44, BA45 Language production
F8 Right inferior frontal gyrus BA44, BA45 Response inhibition, emotional processing
C3 Left precentral gyrus (primary motor) BA4 Voluntary movement (contralateral)
C4 Right precentral gyrus BA4 Voluntary movement (contralateral)
Cz Midline pre/postcentral gyri BA4, BA3/1/2 Motor and somatosensory integration
P3 Left superior parietal lobule BA7 Visuospatial processing
P4 Right superior parietal lobule BA7 Spatial attention
O1, O2 Primary visual cortex BA17 Visual perception
Oz Midline occipital pole BA17 Visual midline integration
T3/T7 Superior temporal gyrus BA22 Auditory processing (Wernicke’s on left)
T4/T8 Superior temporal gyrus BA22 Auditory processing, social cognition
T5/P7 Middle temporal/occipital junction BA37, BA19 Object recognition, reading
T6/P8 Middle temporal/occipital junction BA37, BA19 Visual association, face recognition

Clinical Examples

  • Depression → rTMS targets F3 (BA46) to improve prefrontal–limbic regulation.

  • Aphasia → EEG may show abnormalities over F7 (BA44/45) in left hemisphere lesions.

  • Visual seizures → Discharges at O1/O2 point toward BA17 involvement.

  • Neglect syndrome → Lesions affecting P4 (BA7) can cause spatial neglect.

Limitations and Cautions

  • BA mapping from scalp positions is approximate — always confirm with imaging in research or surgical planning.

  • Lateral displacement of gyri varies across individuals.

  • Some functional networks span multiple BAs (e.g., DLPFC includes BA9, 46, and parts of 8).

Closing Thoughts

Understanding how 10–20 positions relate to Brodmann areas bridges the gap between surface measurements and cortical function.
For clinicians, it sharpens diagnostic localisation and improves neuromodulation targeting.
For researchers, it strengthens the link between behavioural data and neural substrates.

While MRI and neuronavigation now offer precise cortical mapping, the 10–20–BA correlation remains a powerful clinical shortcut — especially in settings where imaging isn’t available.

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