Théoret H, Haque J, Pascual-Leone A
Laboratory for Magnetic Brain Stimulation, Behavioral Neurology Unit, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave KS-454, Boston MA 02215, USA.
Neurosci Lett. 2001 Jun 22;306(1-2):29-32. doi: 10.1016/s0304-3940(01)01860-2.
Imaging and lesion studies suggest that the cerebellum is involved in the self-generation of timed motor responses. Using repetitive transcranial magnetic stimulation (rTMS), we studied the effects of transient disruption of the lateral or medial cerebellum on a paced-finger-tapping task (PFT). Results show greater variability on the PFT task following a 5 min train of 1 Hz rTMS to the medial cerebellum. Magnetic stimulation of the lateral cerebellum or motor cortex, and sham stimulation, had no effect on performance. Expanding the results of neuroimaging studies, these data show the causal link between activity in the medial cerebellum and the production of timed movements. This is the first demonstration of the feasibility of transiently disrupting the cerebellum by rTMS and inducing behavioral effects. This method of 'virtual lesions' can expand the study of the role of the cerebellum in motor control and cognition.
影像学和病灶研究表明,小脑参与了定时运动反应的自我生成。我们使用重复经颅磁刺激(rTMS),研究了外侧或内侧小脑短暂性干扰对节奏性手指敲击任务(PFT)的影响。结果显示,对内侧小脑进行5分钟1赫兹rTMS刺激后,PFT任务的变异性更大。对外侧小脑或运动皮层进行磁刺激以及假刺激,对任务表现均无影响。这些数据扩展了神经影像学研究的结果,显示了内侧小脑活动与定时运动产生之间的因果联系。这是首次证明通过rTMS短暂干扰小脑并诱导行为效应的可行性。这种“虚拟损伤”方法可以扩展对小脑在运动控制和认知中作用的研究。