Skip to main content
Erschienen in: Journal of Neurology 10/2010

01.10.2010 | Original Communication

Theta burst stimulation over the primary motor cortex does not induce cortical plasticity in Parkinson’s disease

verfasst von: Carsten Eggers, Gereon R. Fink, Dennis A. Nowak

Erschienen in: Journal of Neurology | Ausgabe 10/2010

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study was to investigate whether a period of continuous theta burst stimulation (cTBS) induces cortical plasticity and thus improves bradykinesia of the upper limb in Parkinson’s disease. In eight patients with Parkinson’s disease (two females; mean age: 68.5 ± 5 years; disease duration: 4 ± 3 years) electrophysiological (motor evoked potentials, contralateral and ipsilateral silent period) and behavioural (Purdue pegboard test, UPDRS motor subscore) parameters were evaluated before (baseline condition) and after a 40-s period of (1) real or (2) sham continuous theta burst stimulation over the primary motor cortex contralateral to the more affected body side off dopaminergic drugs. Compared to baseline, cTBS did change neither measures of cortical excitability nor behavioural measures. cTBS over the primary motor cortex does not impact on cortical excitability or motor function of the upper limb in Parkinson’s disease. We interpret these data to reflect impaired cortical plasticity in Parkinson’s disease. This study is an important contribution to the knowledge about impaired plasticity in Parkinson’s disease.
Literatur
1.
Zurück zum Zitat Young AB, Penney JB (2002) Biochemical and functional organization of the basal ganglia. In: Jankovic JJ, Tolosa E (eds) Lippincott Williams and Wilkins, Philadelphia Young AB, Penney JB (2002) Biochemical and functional organization of the basal ganglia. In: Jankovic JJ, Tolosa E (eds) Lippincott Williams and Wilkins, Philadelphia
2.
Zurück zum Zitat Siebner HR, Rothwell J (2003) Transcranial magnetic stimulation: new insights into representational cortical plasticity. Exp Brain Res 148:1–16CrossRefPubMed Siebner HR, Rothwell J (2003) Transcranial magnetic stimulation: new insights into representational cortical plasticity. Exp Brain Res 148:1–16CrossRefPubMed
3.
Zurück zum Zitat Rothwell J (2007) Transcranial magnetic stimulation as a method for investigating the plasticity of the brain in Parkinson’s disease and dystonia. Parkinsonism Relat Disord 13(Suppl 3):S417–S420CrossRefPubMed Rothwell J (2007) Transcranial magnetic stimulation as a method for investigating the plasticity of the brain in Parkinson’s disease and dystonia. Parkinsonism Relat Disord 13(Suppl 3):S417–S420CrossRefPubMed
4.
Zurück zum Zitat Morgante F, Espay AJ, Gunraj C, Lang AE, Chen R (2006) Motor cortex plasticity in Parkinson’s disease and levodopa-induced dyskinesias. Brain 129:1059–1069CrossRefPubMed Morgante F, Espay AJ, Gunraj C, Lang AE, Chen R (2006) Motor cortex plasticity in Parkinson’s disease and levodopa-induced dyskinesias. Brain 129:1059–1069CrossRefPubMed
5.
Zurück zum Zitat Huang YZ, Edwards MJ, Rounis E, Bhatia KP, Rothwell JC (2005) Theta burst stimulation of the human motor cortex. Neuron 45:201–206CrossRefPubMed Huang YZ, Edwards MJ, Rounis E, Bhatia KP, Rothwell JC (2005) Theta burst stimulation of the human motor cortex. Neuron 45:201–206CrossRefPubMed
6.
Zurück zum Zitat Suppa A, Ortu E, Zafar N et al (2008) Theta burst stimulation induces after-effects on contralateral primary motor cortex excitability in humans. J Physiol 586:4489–4500CrossRefPubMed Suppa A, Ortu E, Zafar N et al (2008) Theta burst stimulation induces after-effects on contralateral primary motor cortex excitability in humans. J Physiol 586:4489–4500CrossRefPubMed
7.
Zurück zum Zitat Di Lazzaro V, Pilato F, Dileone M et al (2008) The physiological basis of the effects of intermittent theta burst stimulation of the human motor cortex. J Physiol 586:3871–3879CrossRefPubMed Di Lazzaro V, Pilato F, Dileone M et al (2008) The physiological basis of the effects of intermittent theta burst stimulation of the human motor cortex. J Physiol 586:3871–3879CrossRefPubMed
8.
Zurück zum Zitat Di Lazzaro V, Pilato F, Saturno E et al (2005) Theta-burst repetitive transcranial magnetic stimulation suppresses specific excitatory circuits in the human motor cortex. J Physiol 565:945–950CrossRefPubMed Di Lazzaro V, Pilato F, Saturno E et al (2005) Theta-burst repetitive transcranial magnetic stimulation suppresses specific excitatory circuits in the human motor cortex. J Physiol 565:945–950CrossRefPubMed
9.
Zurück zum Zitat Thickbroom GW (2007) Transcranial magnetic stimulation and synaptic plasticity: experimental framework and human models. Exp Brain Res 180:583–593CrossRefPubMed Thickbroom GW (2007) Transcranial magnetic stimulation and synaptic plasticity: experimental framework and human models. Exp Brain Res 180:583–593CrossRefPubMed
10.
Zurück zum Zitat Rothkegel H, Sommer M, Rammsayer T, Trenkwalder C, Paulus W (2009) Training effects outweigh effects of single-session conventional rTMS and theta burst stimulation in PD patients. Neurorehabil Neural Repair 23:373–381PubMed Rothkegel H, Sommer M, Rammsayer T, Trenkwalder C, Paulus W (2009) Training effects outweigh effects of single-session conventional rTMS and theta burst stimulation in PD patients. Neurorehabil Neural Repair 23:373–381PubMed
11.
Zurück zum Zitat Lefaucheur JP, Drouot X, Von Raison F, Menard-Lefaucheur I, Cesaro P, Nguyen JP (2004) Improvement of motor performance and modulation of cortical excitability by repetitive transcranial magnetic stimulation of the motor cortex in Parkinson’s disease. Clin Neurophysiol 115:2530–2541CrossRefPubMed Lefaucheur JP, Drouot X, Von Raison F, Menard-Lefaucheur I, Cesaro P, Nguyen JP (2004) Improvement of motor performance and modulation of cortical excitability by repetitive transcranial magnetic stimulation of the motor cortex in Parkinson’s disease. Clin Neurophysiol 115:2530–2541CrossRefPubMed
12.
Zurück zum Zitat Sabatini U, Boulanouar K, Fabre N et al (2000) Cortical motor reorganization in akinetic patients with Parkinson’s disease: a functional MRI study. Brain 123(Pt 2):394–403CrossRefPubMed Sabatini U, Boulanouar K, Fabre N et al (2000) Cortical motor reorganization in akinetic patients with Parkinson’s disease: a functional MRI study. Brain 123(Pt 2):394–403CrossRefPubMed
13.
Zurück zum Zitat Crovitz HF, Zener K (1962) A group-test for assessing hand- and eye-dominance. Am J Psychol 75:271–276CrossRefPubMed Crovitz HF, Zener K (1962) A group-test for assessing hand- and eye-dominance. Am J Psychol 75:271–276CrossRefPubMed
14.
Zurück zum Zitat Hoehn MM, Yahr MD (1967) Parkinsonism: onset, progression and mortality. Neurology 17:427–442PubMed Hoehn MM, Yahr MD (1967) Parkinsonism: onset, progression and mortality. Neurology 17:427–442PubMed
15.
Zurück zum Zitat Fahn S, Elton RL motUDC ed. (1987) The Unified Parkinson’s disease Rating Scale. McMillan Healthcare Information, Florham Park Fahn S, Elton RL motUDC ed. (1987) The Unified Parkinson’s disease Rating Scale. McMillan Healthcare Information, Florham Park
16.
Zurück zum Zitat Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198CrossRefPubMed Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198CrossRefPubMed
17.
Zurück zum Zitat Lisanby SH, Gutman D, Luber B, Schroeder C, Sackeim HA (2001) Sham TMS: intracerebral measurement of the induced electrical field and the induction of motor-evoked potentials. Biol Psychiatry 49:460–463CrossRefPubMed Lisanby SH, Gutman D, Luber B, Schroeder C, Sackeim HA (2001) Sham TMS: intracerebral measurement of the induced electrical field and the induction of motor-evoked potentials. Biol Psychiatry 49:460–463CrossRefPubMed
18.
Zurück zum Zitat Ferbert A, Priori A, Rothwell JC, Day BL, Colebatch JG, Marsden CD (1992) Interhemispheric inhibition of the human motor cortex. J Physiol 453:525–546PubMed Ferbert A, Priori A, Rothwell JC, Day BL, Colebatch JG, Marsden CD (1992) Interhemispheric inhibition of the human motor cortex. J Physiol 453:525–546PubMed
19.
Zurück zum Zitat Elahi B, Chen R (2009) Effect of transcranial magnetic stimulation on Parkinson motor function–systematic review of controlled clinical trials. Mov Disord 24:357–363CrossRefPubMed Elahi B, Chen R (2009) Effect of transcranial magnetic stimulation on Parkinson motor function–systematic review of controlled clinical trials. Mov Disord 24:357–363CrossRefPubMed
20.
Zurück zum Zitat Centonze D, Gubellini P, Picconi B, Calabresi P, Giacomini P, Bernardi G (1999) Unilateral dopamine denervation blocks corticostriatal LTP. J Neurophysiol 82:3575–3579PubMed Centonze D, Gubellini P, Picconi B, Calabresi P, Giacomini P, Bernardi G (1999) Unilateral dopamine denervation blocks corticostriatal LTP. J Neurophysiol 82:3575–3579PubMed
21.
Zurück zum Zitat Calabresi P, Maj R, Pisani A, Mercuri NB, Bernardi G (1992) Long-term synaptic depression in the striatum: physiological and pharmacological characterization. J Neurosci 12:4224–4233PubMed Calabresi P, Maj R, Pisani A, Mercuri NB, Bernardi G (1992) Long-term synaptic depression in the striatum: physiological and pharmacological characterization. J Neurosci 12:4224–4233PubMed
22.
Zurück zum Zitat Valls-Sole J, Pascual-Leone A, Brasil-Neto JP, Cammarota A, McShane L, Hallett M (1994) Abnormal facilitation of the response to transcranial magnetic stimulation in patients with Parkinson’s disease. Neurology 44:735–741PubMed Valls-Sole J, Pascual-Leone A, Brasil-Neto JP, Cammarota A, McShane L, Hallett M (1994) Abnormal facilitation of the response to transcranial magnetic stimulation in patients with Parkinson’s disease. Neurology 44:735–741PubMed
23.
Zurück zum Zitat Priori A, Berardelli A, Inghilleri M, Accornero N, Manfredi M (1994) Motor cortical inhibition and the dopaminergic system. Pharmacological changes in the silent period after transcranial brain stimulation in normal subjects, patients with Parkinson’s disease and drug-induced Parkinsonism. Brain 117(Pt 2):317–323CrossRefPubMed Priori A, Berardelli A, Inghilleri M, Accornero N, Manfredi M (1994) Motor cortical inhibition and the dopaminergic system. Pharmacological changes in the silent period after transcranial brain stimulation in normal subjects, patients with Parkinson’s disease and drug-induced Parkinsonism. Brain 117(Pt 2):317–323CrossRefPubMed
24.
Zurück zum Zitat Priori A, Berardelli A, Inghilleri M, Polidori L, Manfredi M (1994) Electromyographic silent period after transcranial brain stimulation in Huntington’s disease. Mov Disord 9:178–182CrossRefPubMed Priori A, Berardelli A, Inghilleri M, Polidori L, Manfredi M (1994) Electromyographic silent period after transcranial brain stimulation in Huntington’s disease. Mov Disord 9:178–182CrossRefPubMed
25.
Zurück zum Zitat Ueki Y, Mima T, Kotb MA et al (2006) Altered plasticity of the human motor cortex in Parkinson’s disease. Ann Neurol 59:60–71CrossRefPubMed Ueki Y, Mima T, Kotb MA et al (2006) Altered plasticity of the human motor cortex in Parkinson’s disease. Ann Neurol 59:60–71CrossRefPubMed
26.
Zurück zum Zitat Bagnato S, Agostino R, Modugno N, Quartarone A, Berardelli A (2006) Plasticity of the motor cortex in Parkinson’s disease patients on and off therapy. Mov Disord 21:639–645CrossRefPubMed Bagnato S, Agostino R, Modugno N, Quartarone A, Berardelli A (2006) Plasticity of the motor cortex in Parkinson’s disease patients on and off therapy. Mov Disord 21:639–645CrossRefPubMed
27.
Zurück zum Zitat Koch G, Brusa L, Carrillo F et al (2009) Cerebellar magnetic stimulation decreases levodopa-induced dyskinesias in Parkinson disease. Neurology 73:113–119CrossRefPubMed Koch G, Brusa L, Carrillo F et al (2009) Cerebellar magnetic stimulation decreases levodopa-induced dyskinesias in Parkinson disease. Neurology 73:113–119CrossRefPubMed
28.
Zurück zum Zitat Ito M (2008) Control of mental activities by internal models in the cerebellum. Nat Rev Neurosci 9:304–313CrossRefPubMed Ito M (2008) Control of mental activities by internal models in the cerebellum. Nat Rev Neurosci 9:304–313CrossRefPubMed
29.
Zurück zum Zitat Brusa L, Versace V, Koch G et al (2006) Low frequency rTMS of the SMA transiently ameliorates peak-dose LID in Parkinson’s disease. Clin Neurophysiol 117:1917–1921CrossRefPubMed Brusa L, Versace V, Koch G et al (2006) Low frequency rTMS of the SMA transiently ameliorates peak-dose LID in Parkinson’s disease. Clin Neurophysiol 117:1917–1921CrossRefPubMed
30.
Zurück zum Zitat Huang YZ, Rothwell JC, Lu CS, Wang J, Chen RS (2010) Restoration of motor inhibition through an abnormal premotor-motor connection in dystonia. Mov Disord 25(6):689–696PubMed Huang YZ, Rothwell JC, Lu CS, Wang J, Chen RS (2010) Restoration of motor inhibition through an abnormal premotor-motor connection in dystonia. Mov Disord 25(6):689–696PubMed
31.
Zurück zum Zitat Siebner HR, Lang N, Rizzo V et al (2004) Preconditioning of low-frequency repetitive transcranial magnetic stimulation with transcranial direct current stimulation: evidence for homeostatic plasticity in the human motor cortex. J Neurosci 24:3379–3385CrossRefPubMed Siebner HR, Lang N, Rizzo V et al (2004) Preconditioning of low-frequency repetitive transcranial magnetic stimulation with transcranial direct current stimulation: evidence for homeostatic plasticity in the human motor cortex. J Neurosci 24:3379–3385CrossRefPubMed
Metadaten
Titel
Theta burst stimulation over the primary motor cortex does not induce cortical plasticity in Parkinson’s disease
verfasst von
Carsten Eggers
Gereon R. Fink
Dennis A. Nowak
Publikationsdatum
01.10.2010
Verlag
Springer-Verlag
Erschienen in
Journal of Neurology / Ausgabe 10/2010
Print ISSN: 0340-5354
Elektronische ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-010-5597-1

Weitere Artikel der Ausgabe 10/2010

Journal of Neurology 10/2010 Zur Ausgabe

Obituary

Obituary

Medical Progress in the Journal of Neurology

Recent advances in spinal cord neurology

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

„Restriktion auf vier Wochen Therapie bei Schlaflosigkeit ist absurd!“

06.05.2024 Insomnie Nachrichten

Chronische Insomnie als eigenständiges Krankheitsbild ernst nehmen und adäquat nach dem aktuellen Forschungsstand behandeln: Das forderte der Schlafmediziner Dr. Dieter Kunz von der Berliner Charité beim Praxis Update.

Stuhltransfusion könnte Fortschreiten von Parkinson-Symptomen bremsen

03.05.2024 Parkinson-Krankheit Nachrichten

Kann eine frühzeitige Stuhltransplantation das Fortschreiten von Parkinson-Symptomen verlangsamen? Die Ergebnisse einer randomisierten Phase-2-Studie scheinen dafür zu sprechen.

Frühe Tranexamsäure-Therapie nützt wenig bei Hirnblutungen

02.05.2024 Hirnblutung Nachrichten

Erhalten Personen mit einer spontanen Hirnblutung innerhalb von zwei Stunden nach Symptombeginn eine Tranexamsäure-Therapie, kann dies weder die Hämatomexpansion eindämmen noch die Mortalität senken.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.