PMID- 12068053 OWN - NLM STAT- MEDLINE DCOM- 20030110 LR - 20190513 IS - 0022-3751 (Print) IS - 1469-7793 (Electronic) IS - 0022-3751 (Linking) VI - 541 IP - Pt 3 DP - 2002 Jun 15 TI - Interaction of transcranial magnetic stimulation and electrical transmastoid stimulation in human subjects. PG - 949-58 AB - Transcranial magnetic stimulation activates corticospinal neurones directly and transsynaptically and hence, activates motoneurones and results in a response in the muscle. Transmastoid stimulation results in a similar muscle response through activation of axons in the spinal cord. This study was designed to determine whether the two stimuli activate the same descending axons. Responses to transcranial magnetic stimuli paired with electrical transmastoid stimuli were examined in biceps brachii in human subjects. Twelve interstimulus intervals (ISIs) from -6 ms (magnet before transmastoid) to 5 ms were investigated. When responses to the individual stimuli were set at 10-15 % of the maximal M-wave, responses to the paired stimuli were larger than expected at ISIs of -6 and -5 ms but were reduced in size at ISIs of -2 to 1 ms and at 3 to 5 ms. With individual responses of 3-5 % of maximal M-wave, facilitation still occurred at ISIs of -6 and -5 ms and depression of the paired response at ISIs of 0, 1, 4 and 5 ms. The interaction of the response to transmastoid stimulation with the multiple descending volleys elicited by magnetic stimulation of the cortex is complex. However, depression of the response to the paired stimuli at short ISIs is consistent with an occlusive interaction in which an antidromic volley evoked by the transmastoid stimulus collides with and annihilates descending action potentials evoked by the transcranial magnetic stimulus. Thus, it is consistent with the two stimuli activating some of the same corticospinal axons. FAU - Taylor, Janet L AU - Taylor JL AD - Prince of Wales Medical Research Institute, Barker Street, Randwick, NSW 2031, Australia. jl.taylor@unsw.edu.au FAU - Petersen, N T AU - Petersen NT FAU - Butler, Jane E AU - Butler JE FAU - Gandevia, S C AU - Gandevia SC LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Physiol JT - The Journal of physiology JID - 0266262 SB - IM MH - Adult MH - Axons/physiology MH - Brain/*physiology MH - Cerebral Cortex/physiology MH - Electric Stimulation MH - *Electromagnetic Fields MH - Humans MH - Middle Aged MH - Muscle, Skeletal/innervation/*physiology MH - Time Factors PMC - PMC2290352 EDAT- 2002/06/18 10:00 MHDA- 2003/01/11 04:00 PMCR- 2003/06/15 CRDT- 2002/06/18 10:00 PHST- 2002/06/18 10:00 [pubmed] PHST- 2003/01/11 04:00 [medline] PHST- 2002/06/18 10:00 [entrez] PHST- 2003/06/15 00:00 [pmc-release] AID - PHY_16782 [pii] AID - 10.1113/jphysiol.2002.016782 [doi] PST - ppublish SO - J Physiol. 2002 Jun 15;541(Pt 3):949-58. doi: 10.1113/jphysiol.2002.016782.