Regional cerebral blood flow was measured with positron emission tomography in human subjects during the performance of a task requiring mental rotation of their hand and a perceptually equivalent control task that did not require such a process. Comparison of the distribution of cerebral activity between these conditions demonstrated significant blood flow increases in the superior parietal cortex, the intraparietal sulcus, and the adjacent rostralmost part of the inferior parietal lobule. These findings demonstrated that, in the human brain, there is a specific system of parietal areas that are involved in mental transformations of the body-inspace.Patients with lesions of the parietal region of the brain exhibit various disturbances of body knowledge (1-3). Large parietal lesions give rise to classical syndromes such as right-left disorientation (1-3) and autotopagnosia, a deficit in localizing body parts in relation to the whole body (4-6). These syndromes are most often associated with lesions of the left hemisphere. Similarly, epileptic manifestations that accompany parietal-lobe tumors can result in disturbances of the body image, such as absence or displacement of a part of the body, transformation of a limb into a mechanical object, the phantom appearance of a third limb, and the personification of a body part (3). These intriguing phenomena are assumed to result from an impairment in the "body schema" (1-3) that traditional neurological thinking ascribed to the posterior parietal cortex (7).There is some evidence, based on single-cell recording studies with nonhuman primates, that neuronal activity in the cortex of the superior parietal lobule (area PE) and its rostrally adjacent cortex surrounding the anteriormost part of the intraparietal sulcus (area PF) codes the position and orientation of body parts in relation to each other (8, 9). We hypothesize that these areas, within the broader neural network in which they are embedded, are the essential components underlying body awareness.This neural system constantly receives information about changing states from the skin and the joints and builds, on this basis, a dynamic and plastic mental representation of the body-in-space. The body is thus placed in a continuous interactive relation with the external world. This dynamic interaction allows for the simulation of continuous spatiotemporal trajectories of body motion and specifies how one's future posture causally depends on one's current posture.