PMID- 11779968 OWN - NLM STAT- MEDLINE DCOM- 20020222 LR - 20191105 IS - 0736-0258 (Print) IS - 0736-0258 (Linking) VI - 18 IP - 6 DP - 2001 Nov TI - Analogous corticocortical inhibition and facilitation in ipsilateral and contralateral human motor cortex representations of the tongue. PG - 550-8 AB - How the human brain controls activation of the ipsilateral part of midline muscles is unknown. We studied corticospinal and corticocortical network excitability of both ipsilateral and contralateral motor representations of the tongue to determine whether they are under analogous or disparate inhibitory and facilitatory corticocortical control. Motor evoked potentials (MEPs) to unilateral focal transcranial magnetic stimulation (TMS) of the tongue primary motor cortex were recorded simultaneously from the ipsilateral and contralateral lingual muscles. Single-pulse TMS was used to assess motor threshold (MT) and MEP recruitment. Paired-pulse TMS was used to study intracortical inhibition (ICI) and intracortical facilitation (ICF) at various interstimulus intervals (ISIs) between the conditioning stimulus (CS) and the test stimulus (TS), and at different CS and TS intensities, respectively. Focal TMS invariably produced MEPs in both ipsilateral and contralateral lingual muscles. MT was lower and MEP recruitment was steeper when recorded from the contralateral muscle group. ICI and ICF were identical in the ipsilateral and contralateral representations, with inhibition occurring at short ISIs (2 and 3 ms) and facilitation occurring at longer ISIs (10 and 15 ms). Moreover, changing one stimulus parameter regularly produced analogous changes in MEP size bilaterally, revealing strong linear correlations between ipsilateral and contralateral ICI and ICF (P < 0.0001). These findings indicate that the ipsilateral and contralateral representations of the tongue are under analogous inhibitory and facilitatory control, possibly by a common intracortical network. FAU - Muellbacher, W AU - Muellbacher W AD - Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892-1428, USA. FAU - Boroojerdi, B AU - Boroojerdi B FAU - Ziemann, U AU - Ziemann U FAU - Hallett, M AU - Hallett M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Neurophysiol JT - Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society JID - 8506708 SB - IM MH - Adult MH - Dominance, Cerebral/*physiology MH - Electric Stimulation MH - Electromyography MH - Evoked Potentials, Motor/physiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Motor Cortex/*physiopathology MH - Motor Neurons/physiology MH - Neural Inhibition/*physiology MH - Reference Values MH - Synaptic Transmission/*physiology MH - Tongue/*innervation EDAT- 2002/01/10 10:00 MHDA- 2002/02/23 10:01 CRDT- 2002/01/10 10:00 PHST- 2002/01/10 10:00 [pubmed] PHST- 2002/02/23 10:01 [medline] PHST- 2002/01/10 10:00 [entrez] AID - 10.1097/00004691-200111000-00005 [doi] PST - ppublish SO - J Clin Neurophysiol. 2001 Nov;18(6):550-8. doi: 10.1097/00004691-200111000-00005.