Abstract
Transcranial magnetic stimulation (TMS) studies on the pathways to the upper limbs have revealed inconsistent results in patients harboring mutations in SPAST/SPG4 gene, responsible for the commonest form of hereditary spastic paraplegia (HSP). This paper is addressed to study the corticomotor excitability of the pathways to the upper limbs in SPG4 subjects. We assessed the corticomotor excitability of hand muscles in 12 subjects belonging to 7 unrelated SPG4 families and in 12 control subjects by stimulus–response curve [input–output (I–O) curve]. All the parameters of the recruitment curve (threshold, V50, slope and plateau) did not differ significantly from those of the controls. Presence of upper limb hyper-reflexia did not influence the results of I–O curve. Considering the multiplicity of possible genes/loci accounting for pure HSPs, performing TMS analyses could be helpful in differential diagnosis of pure HSPs in the absence of other clinical or neuroimaging tools.
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Abbreviations
- ADM:
-
Abductor digiti minimi muscle
- CMCT:
-
Central motor conduction time
- EMG:
-
Electromyography
- HSP:
-
Hereditary spastic paraplegia
- I–O:
-
Input–output
- MEP:
-
Motor evoked potentials
- SPRS:
-
Spastic Paraplegia Rating Scale
- TMS:
-
Transcranial magnetic stimulation
References
McDermott C, White K, Bushby K, Shaw P (2009) Hereditary spastic paraparesis: a review of new developments. J Neurol Neurosurg Psychiatry 69:150–160
Schüle R, Schöls L (2011) Genetics of hereditary spastic paraplegias. Semin Neurol 31:484–493
Fassier C, Tarrade A, Peris L et al (2013) Microtubule-targeting drugs rescue axonal swellings in cortical neurons from spastin knockout mice. Dis Model Mech 6:72–83
Schwarz GA, Liu CN (1956) Hereditary familial spastic paraplegia. Further clinical and pathologic observations. Arch Neurol Psychiatry 75:144–162
Behan WMH, Maia M (1974) Strumpell’s familial spastic paraplegia: genetics and neuropathology. J Neurol Neurosurg Psychiatry 37:8–20
DeLuca GC, Ebers GC, Esiri MM (2004) The extent of axonal loss in the long tracts in hereditary spastic paraplegia. Neuropathol Appl Neurobiol 30:576–584
Bönsch D, Schwindt A, Navratil P et al (2003) Motor system abnormalities in hereditary spastic paraparesis type 4 (SPG 4) depend on the type of mutation in the spastin gene. J Neurol Neurosurg Psychiatry 74:1109–1112
Nardone R, Tezzon F (2003) Transcranial magnetic stimulation study in hereditary spastic paraparesis. Eur Neurol 49:234–237
Sartucci F, Tovani S, Murri L, Sagliocco L (2007) Motor and somatosensory evoked potentials in autosomal dominant hereditary spastic paraparesis (ADHSP) linked to chromosome 2p, SPG4. Brain Res Bull 74:243–249
Schüle R, Holland-Letz T, Klimpe S et al (2006) The Spastic Paraplegia Rating Scale (SPRS): a reliable and valid measure of disease severity. Neurology 67:430–434
Rossini PM, Barker AT, Berardelli A et al (1994) Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN committee. Electroencephalogr Clin Neurophysiol 91:79–92
Carroll TJ, Riek S, Carson RG (2001) Reliability of the input–output properties of the cortico-spinal pathway obtained from transcranial magnetic and electrical stimulation. J Neurosci Methods 112:193–202
Devanne H, Lavoie BA, Capaday C (1997) Input–output properties and gain changes in the human corticospinal pathway. Exp Brain Res 114:329–338
Ginanneschi F, Del Santo F, Dominici F, Gelli F, Mazzocchio T, Rossi A (2005) Changes in corticomotor excitability of hand muscles in relation to static shoulder positions. Exp Brain Res 161:374–382
Salinas S, Proukakis C, Crosby A, Warner TT (2008) Hereditary spastic paraplegia: clinical features and pathogenetic mechanisms. Lancet Neurol 7:1127–1138
Schulte T, Miterski B, Börnke C, Przuntek H, Epplen JT, Schöls L (2003) Neurophysiological findings in SPG4 patients differ from other types of spastic paraplegia. Neurology 60:1529–1532
Crone C, Petersen NT, Nielsen JE, Hansen NL, Nielsen JB (2004) Reciprocal inhibition and corticospinal transmission in the arm and leg in patients with autosomal dominant pure spastic paraparesis (ADPSP). Brain 127:2693–2702
Lang N, Optenhoefel T, Deuschl G, Klebe S (2011) Axonal integrity of corticospinal projections to the upper limbs in patients with pure hereditary spastic paraplegia. Clin Neurophysiol 122:1417–1420
Jørgensen LM, Nielsen JE, Ravnborg M (2005) MEP recruitment curves in multiple sclerosis and hereditary spastic paraplegia. J Neurol Sci 237:25–29
Orlacchio A, Kawarai T, Gaudiello F et al (2005) Clinical and genetic study of a large SPG4 Italian family. Mov Disord 20:1055–1059
Rossini PM, Rossi S (2007) Transcranial magnetic stimulation: diagnostic, therapeutic, and research potential. Neurology 68:484–488
Rothwell JC, Thompson PD, Day BL, Boyd S, Marsden CD (1991) Stimulation of the human motor cortex through the scalp. Exp Physiol 76:159–200
Reid E (2003) Science in motion: common molecular pathological themes emerge in the hereditary spastic paraplegias. J Med Genet 40:81–86
Blackstone C, O’Kane CJ, Reid E (2011) Hereditary spastic paraplegias: membrane traffic and the motor pathway. Nat Rev Neurosci 12:31–42
Manganelli F, Pisciotta C, Dubbioso R et al (2011) Electrophysiological characterisation in hereditary spastic paraplegia type 5. Clin Neurophysiol 122:819–822
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Ginanneschi, F., Carluccio, M.A., Mignarri, A. et al. Hand muscles corticomotor excitability in hereditary spastic paraparesis type 4. Neurol Sci 35, 1287–1291 (2014). https://doi.org/10.1007/s10072-014-1707-7
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DOI: https://doi.org/10.1007/s10072-014-1707-7