PMID- 22018906 OWN - NLM STAT- MEDLINE DCOM- 20120531 LR - 20220321 IS - 1872-6844 (Electronic) IS - 0920-1211 (Linking) VI - 98 IP - 2-3 DP - 2012 Feb TI - Inter-session repeatability of cortical excitability measurements in patients with epilepsy. PG - 182-6 LID - 10.1016/j.eplepsyres.2011.09.011 [doi] AB - PURPOSE: Previous studies have evaluated the inter-session variability of motor thresholds (MT), short intracortical inhibition and intracortical facilitation using paired pulse transcranial magnetic stimulation (TMS) in normal individuals. Here we evaluate the reproducibility of a range of measures of cortical excitability in patients with epilepsy. METHODS: Twenty-four drug naive patients with newly diagnosed epilepsy (13 idiopathic generalised epilepsy [IGE], 11 focal epilepsy) and seventeen non-epilepsy controls were studied. Motor threshold (MT) at rest and recovery curves constructed using paired pulse stimulation at short (2-15 ms) and long (50-400 ms) interstimulus intervals (ISIs) were analysed on two separate occasions, 4-20 weeks apart. The Lin's concordance correlation coefficient test was used to measure agreement between the two sessions. RESULTS: Significant levels of agreement between the two sessions were observed at MT and all the ISIs measured. This was highest in non-epilepsy controls. CONCLUSION: Cortical excitability measures are repeatable over time in both patients with epilepsy and healthy controls. Increased motor cortex excitability is a stable feature in epilepsy without significant inter-session variability. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Badawy, Radwa A B AU - Badawy RA AD - Department of Neurology, Austin Health, Studley Road, Heidelberg, Victoria 3084, Australia. FAU - Jackson, Graeme D AU - Jackson GD FAU - Berkovic, Samuel F AU - Berkovic SF FAU - Macdonell, Richard A L AU - Macdonell RA LA - eng PT - Journal Article DEP - 20111021 PL - Netherlands TA - Epilepsy Res JT - Epilepsy research JID - 8703089 SB - IM MH - Adolescent MH - Adult MH - Biophysics MH - Cerebral Cortex/*physiopathology MH - Electric Stimulation MH - Electroencephalography MH - Electromyography MH - Epilepsy/*diagnosis MH - Evoked Potentials, Motor/*physiology MH - Female MH - Humans MH - Male MH - Neural Inhibition MH - Reproducibility of Results MH - *Seasons MH - Transcranial Magnetic Stimulation MH - Young Adult EDAT- 2011/10/25 06:00 MHDA- 2012/06/01 06:00 CRDT- 2011/10/25 06:00 PHST- 2011/05/23 00:00 [received] PHST- 2011/09/04 00:00 [revised] PHST- 2011/09/17 00:00 [accepted] PHST- 2011/10/25 06:00 [entrez] PHST- 2011/10/25 06:00 [pubmed] PHST- 2012/06/01 06:00 [medline] AID - S0920-1211(11)00275-0 [pii] AID - 10.1016/j.eplepsyres.2011.09.011 [doi] PST - ppublish SO - Epilepsy Res. 2012 Feb;98(2-3):182-6. doi: 10.1016/j.eplepsyres.2011.09.011. Epub 2011 Oct 21.