期刊
NEUROLOGY
卷 80, 期 19, 页码 1746-1753出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1212/WNL.0b013e3182919029
关键词
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资金
- Canadian Institutes of Health Research (CIHR) [MOP 62917]
- Movement Disorder Society
- Dystonia Medical Research Foundation
- CIHR-Banting and Best Canada Graduate Scholarship
- Ontario Graduate Scholarship in Science and Technology/Dr. Arnie Aberman Award
- Medtronic Inc.
- EMD Serono
- Merz
- Allergan
- CIHR [MOP 62917, MOP 15128]
- Michael J. Fox Foundation for Parkinson's Research
- CIHR-Industry (Medtronic Inc.) [ISI 83213]
Objective: To identify the changes in motor cortical facilitatory and inhibitory circuits in Parkinson disease (PD) by detailed studies of their time courses and interactions. Methods: Short-interval intracortical facilitation (SICF) and short-interval intracortical inhibition (SICI) were measured with a paired-pulse paradigm using transcranial magnetic stimulation. Twelve patients with PD in both ON and OFF medication states and 12 age-matched healthy controls were tested. The first experiment tested the time course of SICF in PD and controls. The second experiment tested SICI at different times corresponding to SICF peaks and troughs to investigate whether SICI was affected by SICF. Results: SICF was increased in PD OFF state and was reduced by dopaminergic medications. The reduction in SICF from the OFF to ON state correlated with the improvement in PD motor signs. SICI was reduced in PD OFF state and was only partially normalized by dopaminergic medications. At SICF peaks, improvement in SICI with medication correlated with improvement in PD motor sign. Principal component analysis showed that variations of SICF and SICI were explained by the same principal component only in the PD OFF group, suggesting that decreased SICI in the OFF state is related to increased SICF. Conclusions: Motor cortical facilitation is increased and inhibition is decreased in PD. Increased cortical facilitation partly accounts for the decreased inhibition, but there is also impairment in synaptic inhibition in PD. Increased cortical facilitation may be a compensatory mechanism in PD. Neurology (R) 2013;80:1746-1753
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