初级运动皮层的低频 rTMS 抑制作用:TMS 诱发电位的启示。

Low-frequency rTMS inhibitory effects in the primary motor cortex: Insights from TMS-evoked potentials.

机构信息

Lifespan Cognitive Neuroscience Lab, Department of General Psychology, University of Padua, Via Venezia 8, Padua 35131, Italy; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, Queen Square 33, London WC1N 3BG, UK.

Lifespan Cognitive Neuroscience Lab, Department of General Psychology, University of Padua, Via Venezia 8, Padua 35131, Italy.

出版信息

Neuroimage. 2014 Sep;98:225-32. doi: 10.1016/j.neuroimage.2014.04.065. Epub 2014 May 2.

Abstract

The neuromodulatory effects of repetitive transcranial magnetic stimulation (rTMS) have been mostly investigated by peripheral motor-evoked potentials (MEPs). New TMS-compatible EEG systems allow a direct investigation of the stimulation effects through the analysis of TMS-evoked potentials (TEPs). We investigated the effects of 1-Hz rTMS over the primary motor cortex (M1) of 15 healthy volunteers on TEP evoked by single pulse TMS over the same area. A second experiment in which rTMS was delivered over the primary visual cortex (V1) of 15 healthy volunteers was conducted to examine the spatial specificity of the effects. Single-pulse TMS evoked four main components: P30, N45, P60 and N100. M1-rTMS resulted in a significant decrease of MEP amplitude and in a significant increase of P60 and N100 amplitude. There was no effect after V1-rTMS. 1-Hz rTMS appears to increase the amount of inhibition following a TMS pulse, as demonstrated by the higher N100 and P60, which are thought to originate from GABAb-mediated inhibitory post-synaptic potentials. Our results confirm the reliability of the TMS-evoked N100 as a marker of cortical inhibition and provide insight into the neuromodulatory effects of 1-Hz rTMS. The present finding could be of relevance for therapeutic and diagnostic purposes.

摘要

重复经颅磁刺激(rTMS)的神经调节作用主要通过外周运动诱发电位(MEPs)进行研究。新的 TMS 兼容 EEG 系统允许通过分析 TMS 诱发电位(TEPs)直接研究刺激效果。我们研究了 15 名健康志愿者在同一区域接受单次 TMS 刺激时,1Hz rTMS 对初级运动皮层(M1)的影响对 TEP 的影响。我们还进行了第二个实验,在 15 名健康志愿者的初级视觉皮层(V1)上施加 rTMS,以检查效应的空间特异性。单次 TMS 诱发出四个主要成分:P30、N45、P60 和 N100。M1-rTMS 导致 MEP 振幅显著降低,P60 和 N100 振幅显著增加。V1-rTMS 后没有效果。1Hz rTMS 似乎增加了 TMS 脉冲后的抑制量,这可以通过更高的 N100 和 P60 来证明,这被认为源自 GABA 介导的抑制性突触后电位。我们的结果证实了 TMS 诱发电位 N100 作为皮质抑制标志物的可靠性,并为 1Hz rTMS 的神经调节作用提供了深入了解。这一发现可能对治疗和诊断目的具有重要意义。

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