In the human brain, the uncinate fasciculus is an important white matter connection that connects multiple key areas related to emotion, memory, and decision-making. Although its specific function is not fully understood, the uncinate fasciculus has been shown to be affected in a variety of psychiatric states and is one of the last white matter fibers to mature. This makes the study of the uncinate fasciculus an important topic in neuroscience, especially when it comes to understanding the complex relationship between human behavior and emotion.
The uncinate fasciculus is hook-shaped and connects the front part of the temporal lobe and the lower part of the prefrontal lobe. This fiber tract originates in the anterior part of the temporal lobe and amygdala, curves upward, bypasses the external capsule, extends medially to the insular cortex, and ultimately enters the posterior part of the preorbital gyrus. The average length of the uncinate fasciculus in adults is approximately 45 mm, and its volume is 1504.3 ± 150.4 mm³ in males and 1378.5 ± 107.4 mm³ in females, showing differences between the sexes.
The uncinate fasciculus is considered a bidirectional pathway between the temporal and frontal lobes and has traditionally been considered part of the limbic system. Research suggests that the uncinate fasciculus allows memory representations stored in the temporal lobe to interact with decision-making guidance in the frontal lobe. Studies using diffusion tensor imaging (DTI) techniques have shown higher anisotropy on the left side than on the right side, which may be related to left hemisphere specialization for language. Despite this, electrical stimulation experiments conducted on it did not affect language function, which may indicate that its role in language function is not significant.
The uncinate fasciculus has been shown to play a role in certain types of learning and memory processes, particularly in reverse learning and trial-and-error learning.
The uncinate fasciculus has the longest period of maturation in development and does not reach full development until the age of 30 years. In 12-year-old premature boys, abnormalities in the left anterior uncinate fasciculus were positively associated with verbal and full-scale IQ. Furthermore, in 10-year-old children experiencing social-emotional deprivation, the left uncinate fasciculus showed lower anisotropy, which may be related to their cognitive and behavioral difficulties.
Structural abnormalities of the uncinate fasciculus are related to a variety of neuropsychiatric diseases, especially social anxiety and schizophrenia. However, the reproducibility of these findings is not ideal, and their association with specific diseases is unclear. Nonetheless, microstructural changes in the uncinate fasciculus have been consistently associated with antisocial behavior and psychotic states. For example, certain neural regions in the frontal and temporal lobes connected to the uncinate fasciculus show reduced volume in antisocial personality disorder. Famous cases include railroad worker Phineas Gage, who injured his uncinate fasciculus in an accident, causing his personality to completely change, making him impulsive and making poor decisions.
Abnormalities in the uncinate fasciculus are closely associated with diseases such as Alzheimer's disease, semantic amnesia, and temporal lobe epilepsy.
Research reveals that although the uncinate fasciculus may not play an important role in some psychiatric conditions or its impact is unclear, its developmental vulnerability and structural changes may explain a variety of behavioral and cognitive problems. Whether during normal development or under pathological influence, the health of the uncinate fasciculus is always the key to understanding human behavior. Future research should focus on exploring how specific stressors or environmental factors affect this construct and further understand its role and influence in behavior. So are there still undiscovered secrets about how the uncinate fasciculus shapes our memory and decision-making?