Abstract
Corticobasal syndrome is characterized by asymmetric cortical sensorimotor dysfunction and parkinsonism; an altered cortical excitability has been reported. We explored with transcranial magnetic stimulation the motor cortical excitability in corticobasal syndrome, and the effects of slow repetitive transcranial magnetic stimulation. With transcranial magnetic stimulation, we studied two corticobasal syndrome patients. We determined bilaterally from the first dorsal interosseous muscle: relaxed threshold, and contralateral and ipsilateral silent period. We also evaluated the contralateral silent period after active/sham slow repetitive transcranial magnetic stimulation on the most affected side. At T0 the silent period was bilaterally short. On the most affected side, active slow repetitive transcranial magnetic stimulation induced a short lasting prolongation of the contralateral silent period. In corticobasal syndrome, transcranial magnetic stimulation showed a reduction cortical inhibitory phenomenon potentially reversed transiently by slow repetitive transcranial magnetic stimulation.
References
Boeve BF, Lang AE, Litvan I (2003) Corticobasal degeneration and its relationship to progressive supranuclear palsy and frontotemporal dementia. Ann Neurol 54(suppl 5):S15–S19
Pal PK, Gunraj CA, Li JY, Lang AE, Chen R (2008) Reduced intracortical and interhemispheric inhibitions in corticobasal syndrome. J Clin Neurophysiol 25:304–312
Cincotta M, Borgheresi A, Gambetti C, Balestrieri F, Rossi L, Zaccara G et al (2003) Suprathreshold 0.3 Hz repetitive TMS prolongs the cortical silent period: potential implications for therapeutic trials in epilepsy. Clin Neurophysiol 114:1827–1833
Filipović SR, Rothwell JC, Bhatia K (2010) Slow (1 Hz) repetitive transcranial magnetic stimulation (rTMS) induces a sustained change in cortical excitability in patients with Parkinson’s disease. Clin Neurophysiol 121:1129–1137
Rossini PM, Barker AT, Berardelli A, Caramia MD, Caruso G, Cracco RQ et al (1994) Noninvasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN committee. Electroenceph Clin Neurophysiol 91:79–92
Gibb WR, Luthert PJ, Marsden CD (1989) Corticobasal degeneration. Brain 112:1171–1192
Cilia R, Rossi C, Frosini D, Volterrani D, Siri C, Pagni C et al (2011) Dopamine transporter spect imaging in corticobasal syndrome. PLoS One 6:18301
Ziemann U (2004) TMS and drugs. Clin Neurophysiol 115:1717–1729
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Francesco Monaco: Deceased.
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Civardi, C., Pisano, F., Delconte, C. et al. Effects of slow repetitive transcranial magnetic stimulation in patients with corticobasal syndrome. Neurol Sci 36, 1007–1009 (2015). https://doi.org/10.1007/s10072-015-2115-3
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DOI: https://doi.org/10.1007/s10072-015-2115-3