PMID- 38223850 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240116 IS - 2467-981X (Electronic) IS - 2467-981X (Linking) VI - 9 DP - 2024 TI - Effects of sleep deprivation on cortical excitability: A threshold-tracking TMS study and review of the literature. PG - 13-20 LID - 10.1016/j.cnp.2023.12.001 [doi] AB - OBJECTIVE: Insufficient sleep is linked to several health problems. Previous studies on the effects of sleep deprivation on cortical excitability using conventional transcranial magnetic stimulation (TMS) included a limited number of modalities, and few inter-stimulus intervals (ISIs) and showed conflicting results. This study aimed to investigate the effects of sleep deprivation on cortical excitability through threshold-tracking TMS, using a wide range of protocols at multiple ISIs. METHODS: Fifteen healthy subjects (mean age +/- SD: 36 +/- 3.34 years) were included. The following tests were performed before and after 24 h of sleep deprivation using semi-automated threshold-tacking TMS protocols: short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF) at 11 ISIs between 1 and 30 ms, short interval intracortical facilitation (SICF) at 14 ISIs between 1 and 4.9 ms, long interval intracortical inhibition (LICI) at 6 ISIs between 50 and 300 ms, and short-latency afferent inhibition (SAI) at 12 ISIs between 16 and 30 ms. RESULTS: No significant differences were observed between pre- and post-sleep deprivation measurements for SICI, ICF, SICF, or LICI at any ISIs (p < 0.05). As for SAI, we found a difference at 28 ms (p = 0.007) and 30 ms (p = 0.04) but not at other ISIs. CONCLUSIONS: Sleep deprivation does not affect cortical excitability except for SAI. SIGNIFICANCE: This study confirms some of the previous studies while contradicting others. CI - (c) 2023 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. FAU - Mroczek, Magdalena AU - Mroczek M AD - Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark. FAU - de Grado, Amedeo AU - de Grado A AD - Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark. AD - Neurophysiology Unit, IRCCS Fondazione Istituto Neurologico "Carlo Besta", Universita degli Studi di Milano, Milano, Italy. FAU - Pia, Hossain AU - Pia H AD - Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark. FAU - Nochi, Zahra AU - Nochi Z AD - Danish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. FAU - Tankisi, Hatice AU - Tankisi H AD - Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark. AD - Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark. LA - eng PT - Journal Article DEP - 20231212 PL - Netherlands TA - Clin Neurophysiol Pract JT - Clinical neurophysiology practice JID - 101684308 PMC - PMC10787222 OTO - NOTNLM OT - Intracortical facilitation OT - Long-interval intracortical inhibition OT - Short-interval intracortical facilitation OT - Short-interval intracortical inhibition OT - Short-latency afferent inhibition OT - Sleep deprivation OT - Threshold-tracking transcranial magnetic stimulation COIS- The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: 'HT is a shareholder of QTMS Science Ltd., which licences the QTMSG-12 recording protocols used. Other authors have no potential conflict of interest to declare'. EDAT- 2024/01/15 06:43 MHDA- 2024/01/15 06:44 PMCR- 2023/12/12 CRDT- 2024/01/15 04:55 PHST- 2023/08/27 00:00 [received] PHST- 2023/11/09 00:00 [revised] PHST- 2023/12/01 00:00 [accepted] PHST- 2024/01/15 06:44 [medline] PHST- 2024/01/15 06:43 [pubmed] PHST- 2024/01/15 04:55 [entrez] PHST- 2023/12/12 00:00 [pmc-release] AID - S2467-981X(23)00031-8 [pii] AID - 10.1016/j.cnp.2023.12.001 [doi] PST - epublish SO - Clin Neurophysiol Pract. 2023 Dec 12;9:13-20. doi: 10.1016/j.cnp.2023.12.001. eCollection 2024.