TY - JOUR
T1 - Electrical and magnetic transcranial stimulation in patients with corticospinal damage due to stroke or motor neurone disease
AU - Berardelli, A.
AU - Inghilleri, M.
AU - Cruccu, G.
AU - Mercuri, B.
AU - Manfredi, M.
PY - 1991
Y1 - 1991
N2 - Twenty patients with hemiplegia and 13 patients with motor neurone disease were studied with electrical and magnetic transcranial stimulation. Motor evoked potentials were recorded from the biceps, thenar and tibialis anterior muscles. In both groups of patients magnetic stimulation with a Novametrix stimulator revealed fewer abnormalities than electrical stimulation with a Digitimer D180 stimulator. In patients with hemiplegia, motor evoked potentials after electrical stimulation were absent in 70% of muscles, delayed in 22% and normal in 8%; after magnetic stimulation, they were absent in 53% of muscles, delayed in 28% and normal in 19%. In patients with motor neurone disease, motor evoked potentials after electrical stimulation were absent in 62% of muscles, delayed in 10%, and normal in 29%; after magnetic stimulation, they were absent in 45% of muscles, delayed in 15%, and normal in 40%. The reason why magnetic stimulation reveals fewer abnormalities than electrical stimulation could be that magnetic stimulation repetitively discharges the pyramidal cells and, because of temporal summation mechanisms, produces more powerful excitatory potentials at the lower motoneurone synapse.
AB - Twenty patients with hemiplegia and 13 patients with motor neurone disease were studied with electrical and magnetic transcranial stimulation. Motor evoked potentials were recorded from the biceps, thenar and tibialis anterior muscles. In both groups of patients magnetic stimulation with a Novametrix stimulator revealed fewer abnormalities than electrical stimulation with a Digitimer D180 stimulator. In patients with hemiplegia, motor evoked potentials after electrical stimulation were absent in 70% of muscles, delayed in 22% and normal in 8%; after magnetic stimulation, they were absent in 53% of muscles, delayed in 28% and normal in 19%. In patients with motor neurone disease, motor evoked potentials after electrical stimulation were absent in 62% of muscles, delayed in 10%, and normal in 29%; after magnetic stimulation, they were absent in 45% of muscles, delayed in 15%, and normal in 40%. The reason why magnetic stimulation reveals fewer abnormalities than electrical stimulation could be that magnetic stimulation repetitively discharges the pyramidal cells and, because of temporal summation mechanisms, produces more powerful excitatory potentials at the lower motoneurone synapse.
KW - Corticospinal damage
KW - Magnetic transcranial stimulation
KW - Motor neurone disease
KW - Stroke
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U2 - 10.1016/0168-5597(91)90028-V
DO - 10.1016/0168-5597(91)90028-V
M3 - Article
C2 - 1718725
AN - SCOPUS:0025741782
VL - 81
SP - 389
EP - 396
JO - Electroencephalography and Clinical Neurophysiology - Evoked Potentials
JF - Electroencephalography and Clinical Neurophysiology - Evoked Potentials
SN - 0168-5597
IS - 5
ER -