“…The brainstem, however, has recently emerged as a critical motor control center that is also responsible for skilled limb movements (Esposito et al, 2014; Ruder et al, 2021), and receives significant cortical projections (Economo et al, 2016, 2018). In this regard, recent work has further identified that cortico-brainstem projections provide specific modulatory roles required for dexterous movement that are distinct from corticospinal projections (Conner et al, 2021; Moreno-Lopez et al, 2021). Further, both corticospinal projections, as well as cortico-brainstem and brainstem-spinal projections show a high degree of plasticity after central nervous system (CNS) damage that contributes to motor recovery (Bachmann et al, 2014; Kaiser et al, 2019), with these distinct projections potentially mediating distinct elements of functional motor recovery.…”