While exploring 11 epileptic patients with intracerebral electrodes, we rec
orded readiness potential (RP) preceding a complex motor task. Multilead de
pth electrodes were positioned stereotactically into the cortex. In three p
atients, it was also possible to record RP from the putamen. The movement t
riggering the recording was the turning of a page in an architectural book.
The movement was performed under two conditions: in the first condition, w
ithout looking at the pictures on the page (typical self-pacing); and in th
e second condition, following the inspection of the pictures. There were no
significant differences in the appearance of RP under these two conditions
, neither in duration nor in amplitude. That could be explained by the fact
that "self-paced" does not mean "spontaneous," but covers the internal non
-conscious program related to a given task. RP were present in the contrala
teral primary sensorimotor cortex and the bilateral supplementary motor are
a (SMA), and in the anterior caudal cingulate cortex. No difference between
the cortical topography of RP preceding a simple motor task and the topogr
aphy of RP occurring in connection with complex movement was observed. (C)
2001 Movement Disorder Society.