Murakami Takenobu, Sakuma Kenji, Nomura Takashi, Nakashima Kenji, Hashimoto Isao
Department of Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori University, 36-1 Nishicho, Yonago 683-8504, Japan.
Clin Neurophysiol. 2008 Feb;119(2):301-8. doi: 10.1016/j.clinph.2007.10.012. Epub 2007 Dec 11.
Theta burst transcranial magnetic stimulation (TBS) causes changes in motor cortical excitability. In the present study, somatosensory-evoked potentials (SEPs) and high-frequency oscillations (HFOs) were recorded before and after TBS over the motor cortex to examine how TBS influenced the somatosensory cortex.
SEPs following electric median nerve stimulation were recorded, and amplitudes for the P14, N20, P25, and N33 components were measured and analyzed. HFOs were separated by 400-800 Hz band-pass filtering, and root-mean-square amplitudes were calculated from onset to offset. SEPs and HFOs were measured before and after application of either intermittent or continuous TBS (iTBS/cTBS; 600 total pulses at 80% active motor threshold) over the motor cortex. Motor-evoked potentials (MEPs) and short-interval intracortical inhibition (SICI) of the first dorsal interosseous muscle were examined before and after TBS.
MEPs, SICI, and HFO amplitudes were increased and decreased significantly after iTBS and cTBS, respectively. Wide-band SEPs did not change significantly after TBS.
TBS changed the cortical excitability of the sensorimotor cortices. Changes in HFOs after TBS were parallel to those in SICI.
The mechanisms of changes in HFOs after TBS may be the same as those in SICI.
theta 爆发式经颅磁刺激(TBS)可引起运动皮质兴奋性的变化。在本研究中,在运动皮质进行 TBS 前后记录体感诱发电位(SEP)和高频振荡(HFO),以研究 TBS 如何影响体感皮质。
记录正中神经电刺激后的 SEP,测量并分析 P14、N20、P25 和 N33 成分的波幅。通过 400 - 800Hz 带通滤波分离 HFO,并计算从起始到结束的均方根波幅。在运动皮质施加间歇性或连续性 TBS(iTBS/cTBS;80% 主动运动阈值下共 600 个脉冲)前后测量 SEP 和 HFO。在 TBS 前后检测第一背侧骨间肌的运动诱发电位(MEP)和短间隔皮质内抑制(SICI)。
iTBS 和 cTBS 后,MEP、SICI 和 HFO 波幅分别显著增加和降低。TBS 后宽带 SEP 无显著变化。
TBS 改变了感觉运动皮质的皮质兴奋性。TBS 后 HFO 的变化与 SICI 的变化平行。
TBS 后 HFO 变化的机制可能与 SICI 的机制相同。