Table 2.
Single and paired pulse transcranial magnetic stimulation measures in various Parkinsonian disorders.
Single pulse TMS measures | PD | MSA | PSP | CBS |
---|---|---|---|---|
Motor threshold | ↓/↔ |
↔ |
↔ |
↑ |
MEP amplitude/Recruitment curve | ↑(rest)/↓(active) | ↑ | ↑ | ↓/↔ |
CMCT | ↔ (↑ in Parkin mutation) | ↑ | ↑ | ↔ |
cSP | ↓ | ↑ | ↑ | ↓ |
iSP | ↓ | ↑ | ↑ | ↓ |
Paired pulse TMS measures | ||||
SICI | ↓ | ↓ | ↓ | ↓ |
LICI | ? | – | – | – |
ICF | ↔/↓ | ↔ | ↔ | ↔ |
SICF | ↑ | ↔ | – | – |
SAI | ↔/↓ (ON) | ↓ | ↔ | – |
LAI | ↓ | – | – | – |
IHI | ↓/↔ | – | – | ↓ |
CBI | ↓ | – | ↓ | – |
↓, decreased; ↑, increased; ↔, no change;?, uncertain/conflicting results; -, not studied; CBS, corticobasal syndrome; CBI, cerebellar inhibition; CMCT, central motor conduction time; cSP, contralateral silent period; ICF, intracortical facilitation; IHI, long interhemispheric inhibition; iSP, ipsilateral silent period; LAI, long latency afferent inhibition. LICI, long interval intracortical inhibition; MEP, motor evoked potential; MSA, multisystem atrophy, PD, Parkinson’s disease; PSP, progressive supranuclear palsy; SAI, short latency afferent inhibition; SICF, short interval intracortical facilitation; SICI, short interval intracortical inhibition.