PMID- 11275534 OWN - NLM STAT- MEDLINE DCOM- 20010521 LR - 20190921 IS - 1388-2457 (Print) IS - 1388-2457 (Linking) VI - 112 IP - 4 DP - 2001 Apr TI - Interhemispheric interaction between the hand motor areas in patients with cortical myoclonus. PG - 623-6 AB - OBJECTIVE: To study interhemispheric interaction between the hand motor areas of both hemispheres through the corpus callosum in myoclonus epilepsy. SUBJECTS: Five patients with benign myoclonus epilepsy and ten age matched normal volunteers. METHODS: We studied effects of a medially directed conditioning stimulus over the right hand motor area on responses in the right first dorsal interosseous muscle to a posteriorly directed test stimulus over the left hand motor area. RESULTS: In normal subjects, inhibition was evoked at interstimulus intervals (ISIs) of 8-20ms (late inhibition). In contrast, facilitation occurred in patients at ISIs of 4-6ms (early facilitation) with no late inhibition. CONCLUSIONS: The lack of late inhibition in the patients is consistent with the idea that cortical inhibitory interneurones are affected in myoclonus epilepsy. We propose that this releases interhemispheric facilitation from powerful surround inhibition. The consequence is a predominant early facilitation between the hemispheres in patients with myoclonus epilepsy. FAU - Hanajima, R AU - Hanajima R AD - Department of Neurology, Division of Neuroscience, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. FAU - Ugawa, Y AU - Ugawa Y FAU - Okabe, S AU - Okabe S FAU - Yuasa, K AU - Yuasa K FAU - Shiio, Y AU - Shiio Y FAU - Iwata, N K AU - Iwata NK FAU - Kanazawa, I AU - Kanazawa I LA - eng 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 - Corpus Callosum/physiopathology MH - Electric Stimulation/methods MH - Electromyography MH - Epilepsies, Myoclonic/*physiopathology MH - Hand/innervation/physiology MH - Humans MH - Magnetics/instrumentation MH - Matched-Pair Analysis MH - Motor Cortex/*physiopathology MH - Movement/*physiology MH - Muscle, Skeletal/*physiopathology MH - Neural Inhibition MH - Time Factors EDAT- 2001/03/29 10:00 MHDA- 2001/05/25 10:01 CRDT- 2001/03/29 10:00 PHST- 2001/03/29 10:00 [pubmed] PHST- 2001/05/25 10:01 [medline] PHST- 2001/03/29 10:00 [entrez] AID - S1388-2457(01)00477-1 [pii] AID - 10.1016/s1388-2457(01)00477-1 [doi] PST - ppublish SO - Clin Neurophysiol. 2001 Apr;112(4):623-6. doi: 10.1016/s1388-2457(01)00477-1.