scholarly journals Electrical Stimulation of Primary Motor Cortex for Parkinson's Syndrome

10.5772/16933 ◽  
2011 ◽  
Author(s):  
Naoki Tani ◽  
Youichi Saitoh
Keyword(s):  
Electrical Stimulation ◽  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Parkinson's Syndrome ◽  
Parkinson’S Syndrome ◽  
Stimulation Of

The effect of transcranial magnetic stimulation on the excitability of the motor neuron pools of the muscles of the lower extremities

2021 ◽  
Author(s):  
S.S. Ananiev ◽  
D.A. Pavlov ◽  
R.N. Yakupov ◽  
V.A. Golodnova ◽  
M.V. Balykin
Keyword(s):  
Spinal Cord ◽  
Electrical Stimulation ◽  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Lower Extremities ◽  
Transcutaneous Electrical Stimulation ◽  
Stimulation Of

The study was conducted on 22 healthy men aged 18-23 years. The primary motor cortex innervating the lower limb was stimulated with transcranial magnetic stimulation. Using transcutaneous electrical stimulation of the spinal cord, evoked motor responses of the muscles of the lower extremities were initiated when electrodes were applied cutaneous between the spinous processes in the Th11-Th12 projection. Research protocol: Determination of the thresholds of BMO of the muscles of the lower extremities during TESCS; determination of the BMO threshold of the TA muscle in TMS; determination of the thresholds of the BMO of the muscles of the lower extremities during TESCS against the background of 80% and 90% TMS. It was found that magnetic stimulation of the motor cortex of the brain leads to an increase in the excitability of the neural structures of the lumbar thickening of the spinal cord and an improvement in neuromuscular interactions. Key words: transcranial magnetic stimulation, transcutaneous electrical stimulation of the spinal cord, neural networks, excitability, neuromuscular interactions.

Post-Stroke Intractable Pain

2019 ◽  
pp. 173-178
Author(s):  
Innocent Njoku ◽  
Julie G. Pilitsis
Keyword(s):  
Electrical Stimulation ◽  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Pain Syndrome ◽  
Underlying Mechanism ◽  
Anterior Cingulate ◽  
Intractable Pain ◽  
Analgesic Effects ◽  
Diagnostic Work ◽  
Stimulation Of

Deep brain stimulation (DBS) has been used as a mode to treat chronic intractable pain by targeting the ventroposterior (VP) thalamus, the periaqueductal gray (PAG), or the anterior cingulate cortex (ACC). The exact underlying mechanism by which these targets produce an analgesic effect remains unclear, but stimulation of the thalamocortical pathways, alteration of thalamic activity, and interference of the pain relay pathway have been postulated as plausible mechanisms. Motor cortex stimulation (MCS) has also been used for the treatment of intractable pain through stimulation of the primary motor cortex. Intermittent electrical stimulation is delivered at thresholds lower than evoking a motor response but adequate enough to provide variable analgesic effects. We present a case to illustrate the diagnostic work-up, surgical technique, complications, and outcomes of (sub)cortical electrical stimulation for central pain syndrome.

Electrical stimulation of primary motor cortex within the central sulcus for intractable neuropathic pain

2008 ◽  
Vol 119 (5) ◽  
pp. 993-1001 ◽  
Author(s):  
Koichi Hosomi ◽  
Youichi Saitoh ◽  
Haruhiko Kishima ◽  
Satoru Oshino ◽  
Masayuki Hirata ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Electrical Stimulation ◽  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Central Sulcus ◽  
Stimulation Of

A Functional Connection Between Inferior Frontal Gyrus and Orofacial Motor Cortex in Human

2004 ◽  
Vol 92 (2) ◽  
pp. 1153-1164 ◽  
Author(s):  
Jeremy D. W. Greenlee ◽  
Hiroyuki Oya ◽  
Hiroto Kawasaki ◽  
Igor O. Volkov ◽  
Olaf P. Kaufman ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Human Subjects ◽  
Inferior Frontal Gyrus ◽  
Critical Role ◽  
Intractable Epilepsy ◽  
Functional Connection ◽  
Corticocortical Connections ◽  
Stimulation Of

The inferior frontal gyrus (IFG) of humans is known to play a critical role in speech production. The IFG is a highly convoluted and cytoarchitectonically diverse structure, classically forming 3 subgyri. It is reasonable to speculate that during speaking the IFG, or some portion of it, influences by corticocortical connections the orofacial representational area of primary motor cortex. To test the hypothesis that such corticocortical connections exist, electrical-stimulation tract tracing experiments were performed intraoperatively on 14 human subjects undergoing surgical treatment of medically intractable epilepsy. Bipolar electrical stimulation was applied to sites on the IFG, while the resulting evoked potentials were recorded from orofacial motor cortex, using a multichannel recording array. Stimulation of the IFG evoked polyphasic waveforms on motor cortex of both language-dominant and -nondominant hemispheres. The evoked waveforms had consistent features across subjects. The responses were seen in discrete regions on precentral cortex. Stimulation of motor cortex also evoked responses on portions of IFG. The data provide evidence for a functional connection between the human IFG and orofacial motor cortex.

Multifocal Noninvasive Magnetic Stimulation of the Primary Motor Cortex in Type 1 Myotonic Dystrophy –A Proof of Concept Pilot Study

2021 ◽  
pp. 1-10
Author(s):  
Ericka Greene ◽  
Jason Thonhoff ◽  
Blessy S. John ◽  
David B. Rosenfield ◽  
Santosh A. Helekar
Keyword(s):  
Motor Cortex ◽  
Myotonic Dystrophy ◽  
Muscle Function ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Compound Muscle Action Potential ◽  
Sham Stimulation ◽  
Stimulation Of

Background: Repeated neuromuscular electrical stimulation in type 1 Myotonic Dystrophy (DM1) has previously been shown to cause an increase in strength and a decrease in hyperexcitability of the tibialis anterior muscle. Objective: In this proof-of-principle study our objective was to test the hypothesis that noninvasive repetitive transcranial magnetic stimulation of the primary motor cortex (M1) with a new portable wearable multifocal stimulator causes improvement in muscle function in DM1 patients. Methods: We performed repetitive stimulation of M1, localized by magnetic resonance imaging, with a newly developed Transcranial Rotating Permanent Magnet Stimulator (TRPMS). Using a randomized within-patient placebo-controlled double-blind TRPMS protocol, we performed unilateral active stimulation along with contralateral sham stimulation every weekday for two weeks in 6 adults. Methods for evaluation of muscle function involved electromyography (EMG), hand dynamometry and clinical assessment using the Medical Research Council scale. Results: All participants tolerated the treatment well. While there were no significant changes clinically, EMG showed significant improvement in nerve stimulus-evoked compound muscle action potential amplitude of the first dorsal interosseous muscle and a similar but non-significant trend in the trapezius muscle, after a short exercise test, with active but not sham stimulation. Conclusions: We conclude that two-week repeated multifocal cortical stimulation with a new wearable transcranial magnetic stimulator can be safely conducted in DM1 patients to investigate potential improvement of muscle strength and activity. The results obtained, if confirmed and extended by future safety and efficacy trials with larger patient samples, could offer a potential supportive TRPMS treatment in DM1.

scholarly journals Improved Dexterity after Chronic Electrical Stimulation of the Motor Cortex for Central Pain: A Special Relevance for Thalamic Syndrome

2012 ◽  
Vol 90 (6) ◽  
pp. 370-378
Author(s):  
Christophe Nuti ◽  
François Vassal ◽  
Patrick Mertens ◽  
Jean-Jacques Lemaire ◽  
Michel Magnin ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Motor Cortex ◽  
Central Pain ◽  
Chronic Electrical Stimulation ◽  
Special Relevance ◽  
Stimulation Of

scholarly journals Effective intracortical microstimulation parameters applied to primary motor cortex for evoking forelimb movements to stable spatial end points

2013 ◽  
Vol 110 (5) ◽  
pp. 1180-1189 ◽  
Author(s):  
Gustaf M. Van Acker ◽  
Sommer L. Amundsen ◽  
William G. Messamore ◽  
Hongyu Y. Zhang ◽  
Carl W. Luchies ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Large Scale ◽  
Primary Motor Cortex ◽  
Emg Activity ◽  
Intracortical Microstimulation ◽  
End Points ◽  
End Point ◽  
Motor Effects ◽  
Forelimb Movements ◽  
Stimulation Of

High-frequency, long-duration intracortical microstimulation (HFLD-ICMS) applied to motor cortex is recognized as a useful and informative method for corticomotor mapping by evoking natural-appearing movements of the limb to consistent stable end-point positions. An important feature of these movements is that stimulation of a specific site in motor cortex evokes movement to the same spatial end point regardless of the starting position of the limb. The goal of this study was to delineate effective stimulus parameters for evoking forelimb movements to stable spatial end points from HFLD-ICMS applied to primary motor cortex (M1) in awake monkeys. We investigated stimulation of M1 as combinations of frequency (30–400 Hz), amplitude (30–200 μA), and duration (0.5–2 s) while concurrently recording electromyographic (EMG) activity from 24 forelimb muscles and movement kinematics with a motion capture system. Our results suggest a range of parameters (80–140 Hz, 80–140 μA, and 1,000-ms train duration) that are effective and safe for evoking forelimb translocation with subsequent stabilization at a spatial end point. The mean time for stimulation to elicit successful movement of the forelimb to a stable spatial end point was 475.8 ± 170.9 ms. Median successful frequency and amplitude were 110 Hz and 110 μA, respectively. Attenuated parameters resulted in inconsistent, truncated, or undetectable movements, while intensified parameters yielded no change to movement end points and increased potential for large-scale physiological spread and adverse focal motor effects. Establishing cortical stimulation parameters yielding consistent forelimb movements to stable spatial end points forms the basis for a systematic and comprehensive mapping of M1 in terms of evoked movements and associated muscle synergies. Additionally, the results increase our understanding of how the central nervous system may encode movement.

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