scholarly journals Non-invasive mapping of cortical categorization function by repetitive navigated transcranial magnetic stimulation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Stefanie Maurer ◽  
Vicki Marie Butenschoen ◽  
Bernhard Meyer ◽  
Sandro M. Krieg
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Mother Tongue ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Error Rates ◽  
Cortical Mapping ◽  
Brain Functions ◽  
Preoperative Mapping ◽  
The Right ◽  
Living Objects

AbstractOver the past years navigated repetitive transcranial magnetic stimulation (nrTMS) had become increasingly important for the preoperative examination and mapping of eloquent brain areas. Among other applications it was demonstrated that the detection of neuropsychological function, such as arithmetic processing or face recognition, is feasible with nrTMS. In order to investigate the mapping of further brain functions, this study aims to investigate the cortical mapping of categorization function via nrTMS. 20 healthy volunteers purely right-handed, with German as mother tongue underwent nrTMS mapping using 5 Hz/10 pulses. 52 cortical spots spread over each hemisphere were stimulated. The task consisted of 80 pictures of living and non-living images, which the volunteers were instructed to categorize while the simulation pulses were applied. The highest error rates for all errors of all subjects were observed in the left hemisphere’s posterior middle frontal gyrus (pMFG) with an error rate of 60%, as well as in the right pMFG and posterior supra marginal gyrus (pSMG) (45%). In total the task processing of non-living objects elicited more errors in total, than the recognition of living objects. nrTMS is able to detect cortical categorization function. Moreover, the observed bihemispheric representation, as well as the higher error incidence for the recognition of non-living objects is well in accordance with current literature. Clinical applicability for preoperative mapping in brain tumor patients but also in general neuroscience has to be evaluated as the next step.

scholarly journals Preoperative transcranial magnetic stimulation for picture naming is reliable in mapping segments of the arcuate fasciculus

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Davide Giampiccolo ◽  
Henrietta Howells ◽  
Ina Bährend ◽  
Heike Schneider ◽  
Giovanni Raffa ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Speech Production ◽  
Picture Naming ◽  
Magnetic Stimulation ◽  
Parietal Lobe ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Diffusion Imaging ◽  
Arcuate Fasciculus ◽  
Preoperative Mapping ◽  
Production Errors

Abstract In preoperative planning for neurosurgery, both anatomical (diffusion imaging tractography) and functional tools (MR-navigated transcranial magnetic stimulation) are increasingly used to identify and preserve eloquent language structures specific to individuals. Using these tools in healthy adults shows that speech production errors occur mainly in perisylvian cortical sites that correspond to subject-specific terminations of the major language pathway, the arcuate fasciculus. It is not clear whether this correspondence remains in oncological patients with altered tissue. We studied a heterogeneous cohort of 30 patients (fourteen male, mean age 44), undergoing a first or second surgery for a left hemisphere brain tumour in a language-eloquent region, to test whether speech production errors induced by preoperative transcranial magnetic stimulation had consistent anatomical correspondence to the arcuate fasciculus. We used navigated repetitive transcranial magnetic stimulation during picture naming and recorded different perisylvian sites where transient interference to speech production occurred. Spherical deconvolution diffusion imaging tractography was performed to map the direct fronto-temporal and indirect (fronto-parietal and parieto-temporal) segments of the arcuate fasciculus in each patient. Speech production errors were reported in all patients when stimulating the frontal lobe, and in over 90% of patients in the parietal lobe. Errors were less frequent in the temporal lobe (54%). In all patients, at least one error site corresponded to a termination of the arcuate fasciculus, particularly in the frontal and parietal lobes, despite distorted anatomy due to a lesion and/or previous resection. Our results indicate that there is strong correspondence between terminations of the arcuate fasciculus and speech errors. This indicates that white matter anatomy may be a robust marker for identifying functionally eloquent cortex, particularly in the frontal and parietal lobe. This knowledge may improve targets for preoperative mapping of language in the neurosurgical setting.

scholarly journals Repetitive Transcranial Magnetic Stimulation (rTMS) to Treat Social Anxiety Disorder: Case Reports and a Review of the Literature

2013 ◽  
Vol 9 (1) ◽  
pp. 180-188 ◽  
Author(s):  
Flávia Paes ◽  
Tathiana Baczynski ◽  
Felipe Novaes ◽  
Tamires Marinho ◽  
Oscar Arias-Carrión ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Anxiety Disorders ◽  
Social Anxiety Disorder ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Case Reports ◽  
Therapeutic Option ◽  
The Right

Objectives: Social anxiety disorder (SAD) is a common and debilitating anxiety disorders. However, few studies had been dedicated to the neurobiology underlying SAD until the last decade. Rates of non-responders to standard methods of treatment remain unsatisfactorily high of approximately 25%, including SAD. Advances in our understanding of SAD could lead to new treatment strategies. A potential non invasive therapeutic option is repetitive transcranial magnetic stimulation (rTMS). Thus, we reported two cases of SAD treated with rTMS Methods: The bibliographical search used Pubmed/Medline, ISI Web of Knowledge and Scielo databases. The terms chosen for the search were: anxiety disorders, neuroimaging, repetitive transcranial magnetic stimulation. Results: In most of the studies conducted on anxiety disorders, except SAD, the right prefrontal cortex (PFC), more specifically dorsolateral PFC was stimulated, with marked results when applying high-rTMS compared with studies stimulating the opposite side. However, according to the “valence hypothesis”, anxiety disorders might be characterized by an interhemispheric imbalance associated with increased right-hemispheric activity. With regard to the two cases treated with rTMS, we found a decrease in BDI, BAI and LSAS scores from baseline to follow-up. Conclusion: We hypothesize that the application of low-rTMS over the right medial PFC (mPFC; the main structure involved in SAD circuitry) combined with high-rTMS over the left mPFC, for at least 4 weeks on consecutive weekdays, may induce a balance in brain activity, opening an attractive therapeutic option for the treatment of SAD.

Interference of Left and Right Cerebellar rTMS with Procedural Learning

2004 ◽  
Vol 16 (9) ◽  
pp. 1605-1611 ◽  
Author(s):  
Sara Torriero ◽  
Massimiliano Oliveri ◽  
Giacomo Koch ◽  
Carlo Caltagirone ◽  
Laura Petrosini
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Reaction Time Task ◽  
Normal Subjects ◽  
Serial Reaction Time Task ◽  
Procedural Learning ◽  
Cerebellar Hemisphere ◽  
Serial Reaction ◽  
The Right

Increasing evidence suggests cerebellar involvement in procedural learning. To further analyze its role and to assess whether it has a lateralized influence, in the present study we used a repetitive transcranial magnetic stimulation interference approach in a group of normal subjects performing a serial reaction time task. We studied 36 normal volunteers: 13 subjects underwent repetitive transcranial magnetic stimulation on the left cerebellum and performed the task with the right (6 subjects) or left (7 subjects) hand; 10 subjects underwent repetitive transcranial magnetic stimulation on the right cerebellum and performed the task with the hand ipsilateral (5 subjects) or contralateral (5 subjects) to the stimulation; another 13 subjects served as controls and were not submitted to repetitive transcranial magnetic stimulation; 7 of them performed the task with the right hand and 6 with the left hand. The main results show that interference with the activity of the lateral cerebellum induces a significant decrease of procedural learning: Interference with the right cerebellar hemisphere activity induces a significant decrease in procedural learning regardless of the hand used to perform the serial reaction time task, whereas left cerebellar hemisphere activity seems more linked with procedural learning through the ipsilateral hand. In conclusion, the present study shows for the first time that a transient interference with the functions of the cerebellar cortex results in an impairment of procedural learning in normal subjects and it provides new evidences for interhemispheric differences in the lateral cerebellum.

Frequency- and area-specific entrainment of intrinsic cortical oscillations by repetitive transcranial magnetic stimulation

2018 ◽  
Author(s):  
Yuka O. Okazaki ◽  
Yumi Nakagawa ◽  
Yuji Mizuno ◽  
Takashi Hanakawa ◽  
Keiichi Kitajo
Keyword(s):  
Visual Cortex ◽  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Natural Frequency ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Phase Locking ◽  
Neural Oscillations ◽  
Global Networks ◽  
Brain Functions

AbstractNeural oscillations are ubiquitous throughout the cortex, but the frequency of oscillations differs from area to area. To elucidate the mechanistic architectures establishing various rhythmic activities, we tested whether spontaneous neural oscillations in different cortical modules can be entrained by direct perturbation with distinct frequencies of transcranial magnetic stimulation (TMS). While recording the electroencephalogram (EEG), we applied single-pulse TMS (sTMS) and repetitive TMS (rTMS) at 5, 11, and 23 Hz to motor or visual cortex. To assess entrainment, defined as phase locking of intrinsic oscillations to periodic external force , we examined local and global modulation of the phase-locking factor (PLF). sTMS triggered transient phase locking in a wide frequency band with distinct PLF peaks at 21 Hz in the motor cortex and 8 Hz in the visual cortex. With TMS pulse trains of 11 Hz over visual cortex and 23 Hz over motor cortex, phase locking was progressively enhanced at the stimulation frequency and lasted for a few cycles after the stimulation terminated. Moreover, such local entrainment propagated to other cortical regions, suggesting that rTMS entrained intrinsic neural oscillations locally and globally via network nodes. Because the entrainment was frequency-specific for each target site, these frequencies may correspond to the natural frequency of each cortical module and of the global networks. rTMS enables direct manipulation of the brain and is thus useful for investigating the causal roles of synchronous neural oscillations and synchrony in brain functions, and for the treatment of clinical symptoms associated with impaired oscillations and synchrony.Significance StatementWe provide the first evidence for area- and frequency-specific entrainment by frequency-tuned repetitive transcranial magnetic stimulation (rTMS), and the propagation of this entrainment to other areas. Our results indicate that rTMS at the natural frequency of each cortical system is particularly effective for entraining oscillatory phase. Moreover, local entrainment led to global entrainment in functionally coupled areas. The ability to control brain rhythms in the intact human brain is highly beneficial for studying the causal roles of rhythmic activity in brain function. Moreover, this modulatory technique has the potential to treat patients with impaired rhythmic networks in disorders such as schizophrenia and stroke.

scholarly journals Neuronavigated Repetitive Transcranial Magnetic Stimulation as Novel Mapping Technique Provides Insights Into Language Function in Primary Progressive Aphasia

2021 ◽  
Author(s):  
Felix Mueller-Sarnowski ◽  
Nico Sollmann ◽  
Axel Schröder ◽  
Leen Houri ◽  
Sebastian Ille ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Right Hemisphere ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Primary Progressive Aphasia ◽  
Language Function ◽  
Language Mapping ◽  
Progressive Aphasia ◽  
Primary Progressive ◽  
The Right

Abstract Neuronavigated repetitive transcranial magnetic stimulation (nrTMS) is an innovative technique that provides insight into language function with high accuracy in time and space. So far, nrTMS has mainly been applied in presurgical language mapping of patients with cranial neoplasms. For the present study nrTMS was used for language mapping in primary progressive aphasia Seven patients (median age: 70 years, 4 males) with the non-fluent variant of primary progressive aphasia were included in this pilot study. Inhibitory nrTMS trains (5 Hz, 40 % resting motor threshold) caused virtual lesions at 46 standardized cortical stimulation targets per hemisphere. Patients’ errors in a naming task during stimulation were counted. The majority of errors induced occurred during frontal lobe stimulation (34.3 %). Timing errors and non-responses were most frequent. More errors were induced in the right hemisphere (58%) than in the left hemisphere (42%). Mapping was tolerated by all patients, however, discomfort or pain was reported for stimulation of frontal areas. The elevated right-hemispheric error rate in our study supports the hypothesis of a partial shift of language function to the right hemisphere in neurodegenerative aphasia during the course of disease and therefore points to the existence of significant neuronal plasticity in primary progressive aphasia. While this is an interesting finding for neurodegenerative disorders per se, its promotion might also harbor future therapeutic targets.

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