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Schoisswohl, Stefan ; Kanig, Carolina ; Osnabruegge, Mirja ; Agboada, Desmond ; Langguth, Berthold ; Rethwilm, Roman ; Hebel, Tobias ; Abdelnaim, Mohamed A. ; Mack, Wolfgang ; Seiberl, Wolfgang ; Kuder, Manuel ; Schecklmann, Martin

Monitoring Changes in TMS-Evoked EEG and EMG Activity During 1 Hz rTMS of the Healthy Motor Cortex

Schoisswohl, Stefan , Kanig, Carolina, Osnabruegge, Mirja, Agboada, Desmond, Langguth, Berthold , Rethwilm, Roman, Hebel, Tobias , Abdelnaim, Mohamed A. , Mack, Wolfgang, Seiberl, Wolfgang, Kuder, Manuel and Schecklmann, Martin (2024) Monitoring Changes in TMS-Evoked EEG and EMG Activity During 1 Hz rTMS of the Healthy Motor Cortex. eneuro 11 (4), ENEURO.0309-23.2024.

Date of publication of this fulltext: 26 Apr 2024 13:28
Article
DOI to cite this document: 10.5283/epub.58172


Abstract

Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation technique capable of inducing neuroplasticity as measured by changes in peripheral muscle electromyography (EMG) or electroencephalography (EEG) from pre-to-post stimulation. However, temporal courses of neuromodulation during ongoing rTMS are unclear. Monitoring cortical dynamics via TMS-evoked responses ...

Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation technique capable of inducing neuroplasticity as measured by changes in peripheral muscle electromyography (EMG) or electroencephalography (EEG) from pre-to-post stimulation. However, temporal courses of neuromodulation during ongoing rTMS are unclear. Monitoring cortical dynamics via TMS-evoked responses using EMG (motor-evoked potentials; MEPs) and EEG (transcranial-evoked potentials; TEPs) during rTMS might provide further essential insights into its mode of action – temporal course of potential modulations. The objective of this study was to first evaluate the validity of online rTMS-EEG and rTMS-EMG analyses, and second to scrutinize the temporal changes of TEPs and MEPs during rTMS. As rTMS is subject to high inter-individual effect variability, we aimed for single-subject analyses of EEG changes during rTMS. Ten healthy human participants were stimulated with 1,000 pulses of 1 Hz rTMS over the motor cortex, while EEG and EMG were recorded continuously. Validity of MEPs and TEPs measured during rTMS was assessed in sensor and source space. Electrophysiological changes during rTMS were evaluated with model fitting approaches on a group- and single-subject level. TEPs and MEPs appearance during rTMS was consistent with past findings of single pulse experiments. Heterogeneous temporal progressions, fluctuations or saturation effects of brain activity were observed during rTMS depending on the TEP component. Overall, global brain activity increased over the course of stimulation. Single-subject analysis revealed inter-individual temporal courses of global brain activity. The present findings are in favor of dose-response considerations and attempts in personalization of rTMS protocols.



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Details

Item typeArticle
Journal or Publication Titleeneuro
Publisher:Society for Neuroscience
Volume:11
Number of Issue or Book Chapter:4
Page Range:ENEURO.0309-23.2024
Date2 April 2024
InstitutionsMedicine > Lehrstuhl für Psychiatrie und Psychotherapie
Identification Number
ValueType
10.1523/ENEURO.0309-23.2024DOI
Keywordselectroencephalography; motor-evoked potentials; neuroplasticity; repetitive transcranial magnetic stimulation; TMS-EEG; TMS-evoked EEG potentials
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-581724
Item ID58172

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