Jin Yu, Hilgetag Claus C
Neural Systems Lab, School of Engineering and Science, Jacobs University Bremen, Campus Ring 6, 28759 Bremen, Germany.
Exp Brain Res. 2008 Jul;189(1):121-8. doi: 10.1007/s00221-008-1449-y. Epub 2008 Jun 19.
The contribution of different cortical regions to visuospatial attention can be probed with the help of perturbation techniques, such as transcranial magnetic stimulation (TMS). Repetitive TMS (rTMS) has also been suggested as a tool for the therapy of brain injuries, by adjusting the neural excitability of injured or intact brain regions. Low- and high-frequency rTMS have been shown to result in subsequent (offline) reductions or increases of local cortical excitability, respectively. Previous studies demonstrated that low-frequency (1 Hz) rTMS of posterior parietal cortex (PPC) produced significantly reduced detection of stimuli in the visual hemifield contralateral to the stimulation site, as well as increased ipsilateral detection. We here explored the functional impact of high-frequency (20 Hz) rTMS with an attention task similar to that of a previous low-frequency study (Hilgetag et al. in Nat Neurosci 4:953-957, 2001). Normal healthy subjects (N = 14) received high-frequency rTMS (20 Hz, 10 min, 50% stimulator output) over right or left PPC (coordinate points P4 or P3). After stimulation of the right PPC, detection of single visual stimuli in the contralateral hemifield was significantly impaired. Generally, rTMS of right and left PPC produced mirror-symmetric trends in reduced contralateral detection. These effects were still present after post-TMS sham stimulation (more than 20 min after the end of active rTMS). The results suggest that attentional function can be perturbed by high-frequency rTMS as well as by low-frequency rTMS, despite potential differences in the underlying neural mechanisms.
借助诸如经颅磁刺激(TMS)等干扰技术,可以探究不同皮质区域对视觉空间注意力的贡献。重复经颅磁刺激(rTMS)也被认为是一种治疗脑损伤的工具,通过调节受损或完整脑区的神经兴奋性来实现。低频和高频rTMS已被证明分别会导致随后(离线状态下)局部皮质兴奋性的降低或增加。先前的研究表明,对顶叶后皮质(PPC)进行低频(1Hz)rTMS会使刺激部位对侧视觉半视野中的刺激检测显著减少,同时同侧检测增加。我们在此采用了一项与先前低频研究(Hilgetag等人,《自然神经科学》,2001年,第4卷,第953 - 957页)类似的注意力任务,来探究高频(20Hz)rTMS的功能影响。正常健康受试者(N = 14)在右侧或左侧PPC(坐标点P4或P3)接受高频rTMS(20Hz,10分钟,50%刺激器输出)。刺激右侧PPC后,对侧半视野中单个视觉刺激的检测显著受损。一般来说,右侧和左侧PPC的rTMS在对侧检测减少方面呈现镜像对称趋势。在TMS假刺激后(主动rTMS结束后超过20分钟),这些效应仍然存在。结果表明,尽管潜在的神经机制可能存在差异,但高频rTMS和低频rTMS都能干扰注意力功能。