








Which is the most evolutionarily advanced part of the human brain?

This is a potentially controversial issue, since there is no consensus yet on the evolution of the brain, beyond a very coarse-grained chronology. Broadly speaking, neocortical areas are new, hence the term “neo-cortex”. But among cortical areas, there is still some disagreement about which areas emerged most recently in primates.

Based on what we know about development in the womb, along with structural findings, my labmates, who are neuroanatomists, suggest that the “eulaminate” areas — the ones that have sharply defined layers — may be the most recent, evolutionarily, compared to the “agranular” and “dysgranular” cortices, which have less sharply defined layers. These less sharply defined areas are also labeled as “limbic”.

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If serotonin deficiency isn’t the cause of depression, then why do SSRIs work?

Acetaminophen (a.k.a paracetamol) relieves some types of headache. But this does not mean that these headaches are caused by acetaminophen deficiency. The brain doesn’t even produce acetaminophen.

The point of this analogy is to make clear that a medicine can work even if it is not acting on the cause of the symptom. In many cases a medicine can work even when the cause of the symptom is completely unknown.

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