Abstract:
:In this study, transcranial magnetic stimulation (TMS) of the primary motor hand area was used to test cortical excitability in Parkinson's disease (PD) patients. Motor evoked potentials (MEPs) to TMS were studied at rest by utilising distinct paired-pulse TMS protocols. Out of 29 untreated PD patients and 29 healthy subjects, early cortical inhibition (1-6 ms) was studied in a first subgroup of 17 PD patients and 15 healthy subjects, whereas late cortical inhibition (20-200 ms) was studied in a second subgroup of 21 PD patients and 19 healthy subjects. In all PD patients the same TMS protocols were performed before and after 3 h of apomorphine infusion. In comparison to healthy subjects, untreated PD patients showed a significant reduction of both early and late cortical inhibition, which was maximal at 2-3 ms, and at 80-100 ms, respectively. Apomorphine administration consistently reversed all the MEP abnormalities found in PD patients. The lack of TMS effects on the Hoffman's reflex (HR), at those intervals revealing the reduced inhibition in PD patients, is compatible with a supraspinal origin of the observed MEP abnormalities. Our data suggest that the cortical and/or subcortical loss of dopaminergic transmission in PD patients is associated with impaired motor cortical inhibitory mechanisms, as tested by a decreased early and late MEP inhibition.
journal_name
Exp Brain Resjournal_title
Experimental brain researchauthors
Pierantozzi M,Palmieri MG,Marciani MG,Bernardi G,Giacomini P,Stanzione Pdoi
10.1007/s002210100839keywords:
subject
Has Abstractpub_date
2001-11-01 00:00:00pages
52-62issue
1eissn
0014-4819issn
1432-1106journal_volume
141pub_type
杂志文章abstract::The effects of an external constant force bias on the information transmitted (Ti) by the direction of isometric force exerted in 2-dimensional (2-D) space by human subjects were studied using an isometric manipulandum and random dot stereograms generated in a color display (Massey et al. 1988, Massey et al. 1990). Su...
journal_title:Experimental brain research
pub_type: 杂志文章
doi:10.1007/BF00231171
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journal_title:Experimental brain research
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journal_title:Experimental brain research
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journal_title:Experimental brain research
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journal_title:Experimental brain research
pub_type: 杂志文章
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journal_title:Experimental brain research
pub_type: 杂志文章
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journal_title:Experimental brain research
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Experimental brain research
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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journal_title:Experimental brain research
pub_type: 杂志文章
doi:10.1007/BF00228892
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pub_type: 杂志文章
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journal_title:Experimental brain research
pub_type: 杂志文章
doi:10.1007/BF00269447
更新日期:1987-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s002219900312
更新日期:2000-04-01 00:00:00
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journal_title:Experimental brain research
pub_type: 杂志文章
doi:10.1007/s00221-004-2181-x
更新日期:2005-04-01 00:00:00
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journal_title:Experimental brain research
pub_type: 杂志文章
doi:10.1007/s00221-004-1914-1
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journal_title:Experimental brain research
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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更新日期:2020-11-16 00:00:00
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更新日期:2007-02-01 00:00:00
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journal_title:Experimental brain research
pub_type: 杂志文章
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