Transcranial magnetic stimulation in partial epilepsy: Drug-induced changes of motor excitability

R. Michelucci, D. Passarelli, P. Riguzzi, A. M. Buzzi, E. Gardella, C. A. Tassinari

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Single-pulse transcranial magnetic stimulation (s-TMS) with recording of motor evoked potentials (MEPs) from thenar muscles of both hands was performed on 84 patients with cryptogenic partial epilepsy and 50 healthy controls. We analyzed the cortical latency (CL), central conduction time (CCT), and threshold intensity (TI) required to elicit liminal MEPs at rest. In the patients, CL and CCT were normal, but TI was significantly higher than in the controls. Of the 84 patients, 65 were taking one or more antiepileptic drugs and 19 were untreated. The untreated patients had a significantly lower TI than the treated patients. In the treated patients, the TI increase paralleled the number of drugs taken. Additionally, in 2 subgroups of patients undergoing major modifications of antiepileptic treatment, TI dropped after partial withdrawal of medication and increased following the commencement of therapy. The results suggest that anticonvulsants depress the excitability of human motor pathways in epileptic subjects.

Original languageEnglish
Pages (from-to)24-30
Number of pages7
JournalActa Neurologica Scandinavica
Volume94
Issue number1
Publication statusPublished - 1996

Fingerprint

Partial Epilepsy
Transcranial Magnetic Stimulation
Pharmaceutical Preparations
Anticonvulsants
Motor Evoked Potentials
Efferent Pathways
Epilepsy
Hand
Muscles
Therapeutics

Keywords

  • Antiepileptic drugs
  • Cortical excitability
  • Cryptogenic partial epilepsy
  • Motor evoked potentials
  • Transcranial magnetic stimulation

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Transcranial magnetic stimulation in partial epilepsy : Drug-induced changes of motor excitability. / Michelucci, R.; Passarelli, D.; Riguzzi, P.; Buzzi, A. M.; Gardella, E.; Tassinari, C. A.

In: Acta Neurologica Scandinavica, Vol. 94, No. 1, 1996, p. 24-30.

Research output: Contribution to journalArticle

Michelucci, R. ; Passarelli, D. ; Riguzzi, P. ; Buzzi, A. M. ; Gardella, E. ; Tassinari, C. A. / Transcranial magnetic stimulation in partial epilepsy : Drug-induced changes of motor excitability. In: Acta Neurologica Scandinavica. 1996 ; Vol. 94, No. 1. pp. 24-30.
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