Journal article
Modulation of primary orthostatic tremor by magnetic stimulation over the motor cortex
Journal of Neurology, Neurosurgery & Psychiatry, Vol.64(1), pp.33-36
1998
Abstract
OBJECTIVES To study the role of corticomotor neuronal pathways in primary orthostatic tremor.
METHODS Transcranial magnetic stimuli at an intensity 10% above the resting motor threshold were delivered over the leg motor cortex in two patients with primary orthostatic tremor while standing still. Electromyographic responses in both tibialis anterior muscles were recorded after 20 stimuli given randomly at intervals of 120 to 180 seconds. Differences between predicted and actual times of occurrence of tremor bursts after the stimuli were used to calculate a resetting index, with a value of 0 representing no resetting and a value of 1 representing complete resetting.
RESULTS Transcranial magnetic stimulation evoked EMG responses in both tibialis anterior muscles, followed by transient suppression of tremor before reappearance of rhythmic EMG activity. Analysis of the timing of tremor bursts from EMG recordings before and after the magnetic stimuli disclosed that the phase of orthostatic tremor could be reset by brain stimulation (mean resetting indices 0.93 and 0.82).
CONCLUSION The results suggest that a central oscillator, involving the motor cortex, has a crucial role in either the generation or modulation of orthostatic tremor.
Details
- Title
- Modulation of primary orthostatic tremor by magnetic stimulation over the motor cortex
- Authors/Creators
- C.H. Tsai (Author/Creator) - Royal Adelaide HospitalJ.G. Semmler (Author/Creator)T.E. Kimber (Author/Creator)G. Thickbroom (Author/Creator) - Centre for Neuromuscular & Neurological DisordersR. Stell (Author/Creator)F.L. Mastaglia (Author/Creator) - Centre for Neuromuscular & Neurological DisordersP.D. Thompson (Author/Creator)
- Publication Details
- Journal of Neurology, Neurosurgery & Psychiatry, Vol.64(1), pp.33-36
- Publisher
- BMJ Publishing Group
- Identifiers
- 991005542390707891
- Copyright
- © 1998 by the BMJ Publishing Group Ltd.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- 1.82 Gait & Posture
- 1.82.751 Myoelectric Control
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- Clinical Neurology
- Psychiatry
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- Clinical Medicine