PMID- 17963336 OWN - NLM STAT- MEDLINE DCOM- 20080117 LR - 20211020 IS - 0513-5796 (Print) IS - 1976-2437 (Electronic) IS - 0513-5796 (Linking) VI - 48 IP - 5 DP - 2007 Oct 31 TI - Different modulation of the cortical silent period by two phases of short interval intracortical inhibition. PG - 795-801 AB - PURPOSE: To investigate the influence of 2 phases of short interval intracortical inhibition (SICI) on the cortical silent period (SP). MATERIALS AND METHODS: Single- and paired-pulse transcranial magnetic stimulations (TMSs) at 1 and 2.5ms interstimulus intervals (ISIs) were applied to the left motor cortex in 12 healthy subjects while their right hand muscles were moderately activated. Conditioning stimulation intensity was 90% of the active motor threshold (AMT). Test stimulation intensities were 120, 140, 160, 180, 200, 220, 240, 260% of the AMT and at 100% of the maximal stimulator output, the order of which was arranged randomly. The rectified electromyography area of motor evoked potential (MEP) and duration of the SP were measured off-line using a computerized program. RESULTS: At high-test stimulation intensities, MEP areas were saturated in both single- and paired-pulse stimulations, except that saturated MEPs were smaller for the paired-pulse TMS at 1ms ISI than for the other conditions. As the test stimulation intensity increased, SP was progressively prolonged in both single- and paired-pulse stimulations but was shorter in paired-pulse than single-pulse TMS. Overall, the ratio of SP duration/MEP area was comparable between single- and paired-pulse TMS except for the paired-pulse TMS at 1 ms ISI with a test stimulation intensity at 140-180% of the AMT, in which the ratio was significantly higher than in the single pulse TMS. CONCLUSION: These results suggest that 2 phases of SICI modulate MEP saturation and SP duration differently and provide additional evidence supporting the view that 2 phases of SICI are mediated by different inhibitory mechanisms. FAU - Kang, Suk Yun AU - Kang SY AD - Department of Neurology, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul, Korea. FAU - Shin, Hae-Won AU - Shin HW FAU - Sohn, Young Ho AU - Sohn YH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Korea (South) TA - Yonsei Med J JT - Yonsei medical journal JID - 0414003 SB - IM MH - Adult MH - Evoked Potentials, Motor/*physiology MH - Female MH - Humans MH - Male MH - Motor Cortex/*physiology MH - Transcranial Magnetic Stimulation PMC - PMC2628145 EDAT- 2007/10/30 09:00 MHDA- 2008/01/18 09:00 PMCR- 2007/10/31 CRDT- 2007/10/30 09:00 PHST- 2007/10/30 09:00 [pubmed] PHST- 2008/01/18 09:00 [medline] PHST- 2007/10/30 09:00 [entrez] PHST- 2007/10/31 00:00 [pmc-release] AID - 200710795 [pii] AID - 10.3349/ymj.2007.48.5.795 [doi] PST - ppublish SO - Yonsei Med J. 2007 Oct 31;48(5):795-801. doi: 10.3349/ymj.2007.48.5.795.