Late muscular responses to transcranial cortical stimulation in man. 1990

H Holmgren, and L E Larsson, and S Pedersen
Dept. of Clinical Neurophysiology, University of Linköping, Sweden.

Transcranial cortical stimulation was performed in healthy human subjects. Electrical and magnetic stimuli were applied over the motor areas of the hand and the leg. Surface EMGs were recorded from the antagonistic extensor and flexor carpi radialis and the anterior tibial and triceps surae muscles. Except for the well known early (primary) responses several secondary responses have been recorded. (1) A response with a latency of approximately 100 msec and with higher threshold than the primary response. It was found in approximately half of the muscles recorded from except for the anterior tibial where it was comparatively rare. It could appear both contra- and ipsilaterally and increased in amplitude with preactivation of the target muscle. It is probably not of startle origin but its appearance may be influenced by an approximately simultaneous startle effect from the scalp stimulus. (2) In some subjects a response with a latency of 50-60 msec was recorded. Sometimes it was easily separated from the primary response and from S 100 but sometimes the differentiation was difficult. (3) It was found that the known inhibitory period which follows the primary response was contralateral and increased in duration with increasing stimulus strength. The increase in duration may be due to inhibitory feedback from receptors activated by the simultaneously increasing primary muscle twitch. (4) In relaxed muscle we also observed a contralateral response with a latency exceeding 150 msec. The latency increased with increasing stimulus strength. This increase seems to be related to discontinuance of the inhibitory period.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008280 Magnetics The study of MAGNETIC PHENOMENA. Magnetic
D008297 Male Males
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
D002540 Cerebral Cortex The thin layer of GRAY MATTER on the surface of the CEREBRAL HEMISPHERES that develops from the TELENCEPHALON and folds into gyri and sulci. It reaches its highest development in humans and is responsible for intellectual faculties and higher mental functions. Allocortex,Archipallium,Cortex Cerebri,Cortical Plate,Paleocortex,Periallocortex,Allocortices,Archipalliums,Cerebral Cortices,Cortex Cerebrus,Cortex, Cerebral,Cortical Plates,Paleocortices,Periallocortices,Plate, Cortical
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D005542 Forearm Part of the upper extremity in humans and primates extending from the ELBOW to the WRIST. Antebrachium,Antebrachiums,Forearms

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