Moliadze Vera, Zhao Yongqiang, Eysel Ulf, Funke Klaus
Department of Neurophysiology, Ruhr-University Bochum, 44780 Bochum, Germany.
J Physiol. 2003 Dec 1;553(Pt 2):665-79. doi: 10.1113/jphysiol.2003.050153. Epub 2003 Sep 8.
Transcranial magnetic stimulation (TMS) has become a well established procedure for testing and modulating the neuronal excitability of human brain areas, but relatively little is known about the cellular processes induced by this rather coarse stimulus. In a first attempt, we performed extracellular single-unit recordings in the primary visual cortex (area 17) of the anaesthetised and paralysed cat, with the stimulating magnetic field centred at the recording site (2 x 70 mm figure-of-eight coil). The effect of single biphasic TMS pulses, which induce a lateral-to-medial electric current within the occipital pole of the right hemisphere, was tested for spontaneous as well as visually evoked activity. For cat visual cortex we found that a single TMS pulse elicited distinct episodes of enhanced and suppressed activity: in general, a facilitation of activity was found during the first 500 ms, followed thereafter by a suppression of activity lasting up to a few seconds. Strong stimuli exceeding 50 % of maximal stimulator output could also lead to an early suppression of activity during the first 100-200 ms, followed by stronger (rebound) facilitation. Early suppression and facilitation of activity may be related to a more or less direct stimulation of inhibitory and excitatory interneurons, probably with different thresholds. The late, long-lasting suppression is more likely to be related to metabotropic or metabolic processes, or even vascular responses. The time course of facilitation/inhibition may provide clues regarding the action of repetitive TMS application.
经颅磁刺激(TMS)已成为测试和调节人脑区域神经元兴奋性的成熟方法,但对于这种相当粗糙的刺激所引发的细胞过程,人们了解得相对较少。在首次尝试中,我们在麻醉并瘫痪的猫的初级视觉皮层(17区)进行了细胞外单单元记录,刺激磁场以记录部位为中心(2×70毫米的8字形线圈)。测试了单双相TMS脉冲(其在右半球枕极内诱发从外侧到内侧的电流)对自发活动以及视觉诱发活动的影响。对于猫的视觉皮层,我们发现单个TMS脉冲引发了明显的活动增强和抑制阶段:一般来说,在最初500毫秒内发现活动增强,此后是持续长达几秒的活动抑制。超过最大刺激器输出50%的强刺激也可能在最初100 - 200毫秒内导致活动早期抑制,随后是更强的(反弹)促进。活动的早期抑制和促进可能或多或少与抑制性和兴奋性中间神经元的直接刺激有关,可能具有不同的阈值。后期的、持久的抑制更可能与代谢型或代谢过程甚至血管反应有关。促进/抑制的时间进程可能为重复TMS应用的作用提供线索。
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