PMID- 34998240 OWN - NLM STAT- MEDLINE DCOM- 20220413 LR - 20220413 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 434 DP - 2022 Mar 15 TI - Visuomotor integration in early Alzheimer's disease: A TMS study. PG - 120129 LID - S0022-510X(21)02836-7 [pii] LID - 10.1016/j.jns.2021.120129 [doi] AB - BACKGROUND AND PURPOSE: Cortical visuomotor integration is altered in Alzheimer's disease (AD), even at an early stage of the disease. The aim of this study was to assess the connections between the primary visual (V1) and motor (M1) areas in patients with early AD using a paired-pulse, twin-coil transcranial magnetic stimulation (TMS) technique. METHODS: Visuomotor connections (VMCs) were assessed in 13 subjects with probable AD and 16 healthy control subjects. A conditioning stimulus over the V1 phosphene hotspot was followed at interstimulus intervals (ISIs) of 18 and 40 ms by a test stimulus over M1, to elicit motor evoked potentials (MEPs) in the contralateral first dorsal interosseous muscle. RESULTS: Significant effects due to VMCs, consisting of enhanced MEP suppression at ISI of 18 and 40 ms, were observed in the AD patients. Patients with AD showed an excessive inhibitory response of the right M1 to inputs travelling from V1 at given ISIs. CONCLUSIONS: This study provides neurophysiological evidence of altered functional connectivity between visual and motor areas in AD. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Nardone, Raffaele AU - Nardone R AD - Department of Neurology, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy; Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria; Spinal Cord Injury and Tissue Regeneration Center, Salzburg, Austria; Karl Landsteiner Institut fur Neurorehabilitation und Raumfahrtneurologie, Salzburg, Austria. Electronic address: raffaele.nardone@asbmeran-o.it. FAU - Langthaler, Patrick B AU - Langthaler PB AD - Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria; Department of Mathematics, Paris Lodron University of Salzburg, Austria. FAU - Schwenker, Kerstin AU - Schwenker K AD - Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria; Spinal Cord Injury and Tissue Regeneration Center, Salzburg, Austria; Karl Landsteiner Institut fur Neurorehabilitation und Raumfahrtneurologie, Salzburg, Austria. FAU - Kunz, Alexander B AU - Kunz AB AD - Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria. FAU - Sebastianelli, Luca AU - Sebastianelli L AD - Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy. FAU - Saltuari, Leopold AU - Saltuari L AD - Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy. FAU - Trinka, Eugen AU - Trinka E AD - Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria; Karl Landsteiner Institut fur Neurorehabilitation und Raumfahrtneurologie, Salzburg, Austria; Centre for Cognitive Neuroscience Salzburg, Salzburg, Austria; University for Medical Informatics and Health Technology, UMIT, Hall in Tirol, Austria. FAU - Versace, Viviana AU - Versace V AD - Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA), Vipiteno-Sterzing, Italy. LA - eng PT - Journal Article DEP - 20220103 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 SB - IM MH - *Alzheimer Disease MH - Electromyography MH - Evoked Potentials, Motor/physiology MH - Humans MH - *Motor Cortex MH - Transcranial Magnetic Stimulation OTO - NOTNLM OT - Alzheimer's disease OT - Motor cortex OT - Transcranial magnetic stimulation OT - Visual cortex OT - Visuomotor connections OT - Visuomotor integration EDAT- 2022/01/09 06:00 MHDA- 2022/04/14 06:00 CRDT- 2022/01/08 20:18 PHST- 2021/09/20 00:00 [received] PHST- 2021/12/26 00:00 [revised] PHST- 2021/12/28 00:00 [accepted] PHST- 2022/01/09 06:00 [pubmed] PHST- 2022/04/14 06:00 [medline] PHST- 2022/01/08 20:18 [entrez] AID - S0022-510X(21)02836-7 [pii] AID - 10.1016/j.jns.2021.120129 [doi] PST - ppublish SO - J Neurol Sci. 2022 Mar 15;434:120129. doi: 10.1016/j.jns.2021.120129. Epub 2022 Jan 3.