Von Economo neurons (VENs) are a specialized class of large, layer V pyramidal neurons found predominantly in the frontoinsular cortex (FI) and the anterior cingulate cortex (ACC) of primates, including humans. First described by the Austrian neuroanatomist Constantin von Economo in 1925, these neurons are characterized by their distinctive morphology—large, elongated cell bodies with a single apical dendrite—and their selective distribution in brain regions associated with social cognition, emotional processing, and interoception [1](https://pubmed.ncbi.nlm.nih.gov/17656459/). VENs are believed to play critical roles in fast signaling across the salience network, and their specific vulnerability in frontotemporal dementia, autism, and other neuropsychiatric conditions has made them a focus of intense research interest.
Anatomy and Distribution
Regional Localization
Von Economo neurons are concentrated in two primary cortical regions:
Frontoinsular Cortex (FI/Zone)
Located in the dorsal bank of the inferior frontal sulcus
Primarily in layers V and shallow VI
More abundant in the right hemisphere (asymmetry ratio ~2:1)
Bounded by the insular cortex, inferior frontal gyrus, and operculum
Anterior Cingulate Cortex (ACC)
Predominantly in pregenual ACC (Brodmann area 32)
Less abundant than in FI
Located in layers V and VI
Part of the salience and default mode networks
Species Distribution
VENs are found in:
Humans: Highest density (~2-3% of layer V neurons in FI)
Great apes (chimpanzees, bonobos, gorillas, orangutans): Present but at lower densities
Old World monkeys (macaques, baboons): Sparse distribution
Other mammals: Essentially absent
This phylogenetic distribution suggests VENs evolved in relation to the complex social cognition requirements of primates, particularly humans.
Morphology
VENs exhibit distinctive morphological features:
Cell body: Large (25-35 μm), elongated, flask-shaped
Dendrites: Single prominent apical dendrite, 3-5 basal dendrites
Axon: Long descending axon projecting to subcortical structures
Orientation: Vertically oriented, perpendicular to cortical surface
Comparison with Betz Cells: VENs are sometimes called "small Betz cells" but differ in: