PMID- 10348334 OWN - NLM STAT- MEDLINE DCOM- 19990601 LR - 20220129 IS - 1388-2457 (Print) IS - 1388-2457 (Linking) VI - 110 IP - 1 DP - 1999 Jan TI - Facilitation of rhythmic events in progressive myoclonus epilepsy: a transcranial magnetic stimulation study. PG - 152-7 AB - Twelve subjects with progressive myoclonus epilepsy (PME) were studied with transcranial magnetic stimulation (TMS), using single and paired magnetic stimuli at different interstimulus intervals (ISIs), and polygraphic recording. Motor threshold (T) and silent period (SP) were normal. Paired TMS showed a loss of inhibition at 100-150 ms ISI and a marked facilitation at 50 ms ISI of conditioned motor evoked potential (MEP). Polygraphic analysis showed 20 Hz oscillatory activity over the sensorimotor area coupled to contralateral myoclonic jerks. These findings suggest a condition of increased supraspinal excitability and support the evidence of a cortical rhythm in the range of 20 Hz. No direct evidence exists that these findings are mediated by the same intracortical pathway. Furthermore, the normal SP and T suggest that the abnormal excitability is not a constant feature but is evident during rhythmic events. FAU - Valzania, F AU - Valzania F AD - Divisione di Neurologia, Ospedale Bellaria, Universita di Bologna, Italy. FAU - Strafella, A P AU - Strafella AP FAU - Tropeani, A AU - Tropeani A FAU - Rubboli, G AU - Rubboli G FAU - Nassetti, S A AU - Nassetti SA FAU - Tassinari, C A AU - Tassinari CA LA - eng GR - E.0444/TI_/Telethon/Italy PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Clin Neurophysiol JT - Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology JID - 100883319 SB - IM MH - Adolescent MH - Adult MH - Brain/*physiopathology MH - Epilepsies, Myoclonic/*physiopathology MH - Female MH - Humans MH - Magnetoencephalography/*methods MH - Male MH - Neural Conduction/physiology MH - Reaction Time/physiology EDAT- 1999/05/29 00:00 MHDA- 1999/05/29 00:01 CRDT- 1999/05/29 00:00 PHST- 1999/05/29 00:00 [pubmed] PHST- 1999/05/29 00:01 [medline] PHST- 1999/05/29 00:00 [entrez] AID - S0013469498001151 [pii] AID - 10.1016/s0013-4694(98)00115-1 [doi] PST - ppublish SO - Clin Neurophysiol. 1999 Jan;110(1):152-7. doi: 10.1016/s0013-4694(98)00115-1.