Movement Disorders (revue)

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Abnormal responses to repetitive transcranial magnetic stimulation in multiple system atrophy

Identifieur interne : 001508 ( PascalFrancis/Curation ); précédent : 001507; suivant : 001509

Abnormal responses to repetitive transcranial magnetic stimulation in multiple system atrophy

Auteurs : Wolfgang N. Löscher [Autriche] ; Michaela Stampfer-Kountchev [Autriche] ; Martin Sawires [Autriche] ; Klaus Seppi [Autriche] ; Joerg Mueller [Autriche] ; Christoph Szubski [Autriche] ; Katrin Hirnsperger [Autriche] ; Christian Brenneis [Autriche] ; Werner Poewe [Autriche] ; Gregor K. Wenning [Autriche]

Source :

RBID : Pascal:07-0133239

Descripteurs français

English descriptors

Abstract

We studied the response of the motor cortex to brief trains of suprathreshold repetitive transcranial magnetic stimulations (rTMS) in patients with the Parkinson-variant of multiple system atrophy (MSA-P) and compared it to patients with idiopathic Parkinson's disease (PD) and healthy controls. Eight subjects were studied in each group, and patients were matched for disease severity as assessed by Hoehn & Yahr stages. rTMS was delivered at rest and during low-level contractions in trains of 10 stimulations at 5 Hz, and stimulation intensity was set to result in an motor evoked potential (MEP) in the first dorsal interosseus muscle of 0.5 to 1.0 mV. In MSA-P, MEP amplitude at rest was already reduced after the second stimulus and remained so, while it did not change in PD and controls. During contraction, MEP size did not change during the train in any group. The silent period that followed the last stimulus was of similar duration as the first stimulus in MSA-P, but was increased in PD and controls. These findings indicate that abnormal inhibition occurs within the motor cortex in MSA-P, despite dopaminergic treatment and indicate differences in cortical dysfunction between MSA-P and PD. We suggest that these abnormalities reflect the motor cortex pathology found in MSA-P.
pA  
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A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 2
A08 01  1  ENG  @1 Abnormal responses to repetitive transcranial magnetic stimulation in multiple system atrophy
A11 01  1    @1 LÖSCHER (Wolfgang N.)
A11 02  1    @1 STAMPFER-KOUNTCHEV (Michaela)
A11 03  1    @1 SAWIRES (Martin)
A11 04  1    @1 SEPPI (Klaus)
A11 05  1    @1 MUELLER (Joerg)
A11 06  1    @1 SZUBSKI (Christoph)
A11 07  1    @1 HIRNSPERGER (Katrin)
A11 08  1    @1 BRENNEIS (Christian)
A11 09  1    @1 POEWE (Werner)
A11 10  1    @1 WENNING (Gregor K.)
A14 01      @1 Department of Neurology, Innsbruck Medical University @2 Innsbruck @3 AUT @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 10 aut.
A20       @1 174-178
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000145528070040
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 25 ref.
A47 01  1    @0 07-0133239
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 We studied the response of the motor cortex to brief trains of suprathreshold repetitive transcranial magnetic stimulations (rTMS) in patients with the Parkinson-variant of multiple system atrophy (MSA-P) and compared it to patients with idiopathic Parkinson's disease (PD) and healthy controls. Eight subjects were studied in each group, and patients were matched for disease severity as assessed by Hoehn & Yahr stages. rTMS was delivered at rest and during low-level contractions in trains of 10 stimulations at 5 Hz, and stimulation intensity was set to result in an motor evoked potential (MEP) in the first dorsal interosseus muscle of 0.5 to 1.0 mV. In MSA-P, MEP amplitude at rest was already reduced after the second stimulus and remained so, while it did not change in PD and controls. During contraction, MEP size did not change during the train in any group. The silent period that followed the last stimulus was of similar duration as the first stimulus in MSA-P, but was increased in PD and controls. These findings indicate that abnormal inhibition occurs within the motor cortex in MSA-P, despite dopaminergic treatment and indicate differences in cortical dysfunction between MSA-P and PD. We suggest that these abnormalities reflect the motor cortex pathology found in MSA-P.
C02 01  X    @0 002B17
C02 02  X    @0 002B17F
C02 03  X    @0 002B17G
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Atrophie multisystématisée @2 NM @5 02
C03 02  X  ENG  @0 Multiple system atrophy @2 NM @5 02
C03 02  X  SPA  @0 Atrofia multisistematizada @2 NM @5 02
C03 03  X  FRE  @0 Stimulus répétitif @5 09
C03 03  X  ENG  @0 Repetitive stimulus @5 09
C03 03  X  SPA  @0 Estímulo repetitivo @5 09
C03 04  X  FRE  @0 Potentiel évoqué moteur @5 10
C03 04  X  ENG  @0 Motor evoked potential @5 10
C03 04  X  SPA  @0 Potencial evocado motor @5 10
C03 05  X  FRE  @0 Stimulation magnétique transcrânienne @4 CD @5 96
C03 05  X  ENG  @0 Transcranial magnetic stimulation @4 CD @5 96
C03 06  X  FRE  @0 Période muette @4 CD @5 97
C03 06  X  ENG  @0 Silent period @4 CD @5 97
C07 01  X  FRE  @0 Electrophysiologie @5 37
C07 01  X  ENG  @0 Electrophysiology @5 37
C07 01  X  SPA  @0 Electrofisiología @5 37
N21       @1 085
N44 01      @1 OTO
N82       @1 OTO

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Pascal:07-0133239

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<term>Système nerveux pathologie</term>
<term>Atrophie multisystématisée</term>
<term>Stimulus répétitif</term>
<term>Potentiel évoqué moteur</term>
<term>Stimulation magnétique transcrânienne</term>
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<div type="abstract" xml:lang="en">We studied the response of the motor cortex to brief trains of suprathreshold repetitive transcranial magnetic stimulations (rTMS) in patients with the Parkinson-variant of multiple system atrophy (MSA-P) and compared it to patients with idiopathic Parkinson's disease (PD) and healthy controls. Eight subjects were studied in each group, and patients were matched for disease severity as assessed by Hoehn & Yahr stages. rTMS was delivered at rest and during low-level contractions in trains of 10 stimulations at 5 Hz, and stimulation intensity was set to result in an motor evoked potential (MEP) in the first dorsal interosseus muscle of 0.5 to 1.0 mV. In MSA-P, MEP amplitude at rest was already reduced after the second stimulus and remained so, while it did not change in PD and controls. During contraction, MEP size did not change during the train in any group. The silent period that followed the last stimulus was of similar duration as the first stimulus in MSA-P, but was increased in PD and controls. These findings indicate that abnormal inhibition occurs within the motor cortex in MSA-P, despite dopaminergic treatment and indicate differences in cortical dysfunction between MSA-P and PD. We suggest that these abnormalities reflect the motor cortex pathology found in MSA-P.</div>
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