It has been known for over 45 years that electrical stimulation of the
midbrain reticular formation and of the thalamic intralaminar nuclei
of the brain alerts animals. However, lesions of these sectors fail to
impair arousal and vigilance in some cases, making the role of the as
cending activating reticular system controversial. Here, a positron em
ission tomographic study showed activation of the midbrain reticular f
ormation and of thalamic intralaminar nuclei when human participants w
ent from a relaxed awake state to an attention-demanding reaction-time
task. These results confirm the role of these areas of the brain and
brainstem in arousal and vigilance.