PMID- 18596185 OWN - NLM STAT- MEDLINE DCOM- 20081212 LR - 20080909 IS - 0022-3077 (Print) IS - 0022-3077 (Linking) VI - 100 IP - 3 DP - 2008 Sep TI - Subcortical interactions between somatosensory stimuli of different modalities and their temporal profile. PG - 1610-21 LID - 10.1152/jn.90412.2008 [doi] AB - Interactions between inputs of different sensory modality occur along the sensory pathway, including the thalamus. However, the temporal profile of such interaction has not been fully studied. In eight patients who had been implanted an intrathalamic electrode for deep brain stimulation as symptomatic treatment of tremor, we investigated the interactions between mechanical taps and electrical nerve stimuli. Somatosensory evoked potentials (SEPs) were recorded from Erb's point, cervical spinal cord, nucleus ventrointermedialis of the thalamus, and parietal cortex. A handheld electronic reflex hammer was used to deliver a mechanical tap to the skin overlying the first dorsal interosseous muscle and to trigger an ipsilateral digital median nerve electrical stimulus time-locked to the mechanical tap with a variable delay of 0 to 50 ms. There were significant time-dependent interactions between the two sensory volleys at the subcortical level. Thalamic SEPs were decreased in amplitude at interstimulus intervals (ISIs) from 10 to 40 ms with maximum effect at 20 ms (-42.8 +/- 10.5%; P < 0.001). A similar decrease was also seen in the number and frequency of the high-frequency components of thalamic SEPs (-25 +/- 4%). A smaller reduction (-18.1 +/- 5.8%; P < 0.001) was present in upper cervical response at ISI = 20 ms. There were no changes in peripheral responses. Cortical SEPs were almost completely absent in some subjects at ISIs from 20 to 50 ms. There were no changes in SEP latencies. Our results indicate that significant time-dependent interactions between sensory volleys occur at the subcortical level. These observations provide further insight into the physiological mechanisms underlying afferent gating between sensory volleys of different modality. FAU - Costa, Joao AU - Costa J AD - Electromyography and Motor Control Unit, Neurology Department, Institut d'Investigacio Biomedica August Pi i Sunyer, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain. FAU - Valls-Sole, Josep AU - Valls-Sole J FAU - Valldeoriola, Francesc AU - Valldeoriola F FAU - Rumia, Jordi AU - Rumia J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080702 PL - United States TA - J Neurophysiol JT - Journal of neurophysiology JID - 0375404 SB - IM MH - Afferent Pathways/*physiopathology MH - Aged MH - Analysis of Variance MH - *Brain Mapping MH - Deep Brain Stimulation/methods MH - Evoked Potentials, Somatosensory/*physiology MH - Female MH - Humans MH - Male MH - Median Nerve/physiopathology/radiation effects MH - Middle Aged MH - Parkinson Disease/pathology/physiopathology MH - Physical Stimulation MH - Reaction Time/physiology MH - Skin/innervation MH - Thalamus/pathology/*physiopathology MH - Time Factors MH - Tremor/pathology/physiopathology EDAT- 2008/07/04 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/07/04 09:00 PHST- 2008/07/04 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/07/04 09:00 [entrez] AID - 90412.2008 [pii] AID - 10.1152/jn.90412.2008 [doi] PST - ppublish SO - J Neurophysiol. 2008 Sep;100(3):1610-21. doi: 10.1152/jn.90412.2008. Epub 2008 Jul 2.