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Neurology 1999;53:1806
© 1999 American Academy of Neurology


Articles

Facilitation of picture naming after repetitive transcranial magnetic stimulation

F. M. Mottaghy, MD, M. Hungs, MD, M. Brügmann, Dipl-Psych, R. Sparing, MS, B. Boroojerdi, MD, H. Foltys, MD, W. Huber, PhD and R. Töpper, MD

From the Department of Nuclear Medicine (KME) (Dr. Mottaghy), Research Center, Juelich, Germany; the Departments of Neurology and Neurolinguistics (Drs. Hungs, Brügmann, Boroojerdi, Foltys, Huber, and Töpper, and R. Sparing), University Hospital, RWTH Aachen, Germany; and the Human Cortical Physiology Unit (Dr. Boroojerdi), National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD.

Address correspondence and reprint requests to Dr. Felix M. Mottaghy, Department of Nuclear Medicine (KME), Research Center Juelich, 52426 Juelich, Germany.

OBJECTIVE: To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on picture naming.

BACKGROUND: Previous studies have shown that rTMS disrupts ongoing speech processes when delivered over frontal or parietal areas of the dominant hemisphere.

METHODS: In 15 healthy right-handed male individuals, rTMS trains of 20 Hz with a duration of 2 seconds and an intensity of 55% of maximum stimulator output were delivered either to Wernicke’s area, to the right-hemisphere homologue of Wernicke’s area, to Broca’s area, or to the primary visual cortex. Twenty black-and-white line drawings, which the individuals had to name as quickly as possible, were shown immediately after the completion of rTMS and again 2 minutes later.

RESULTS: Immediately after the end of a train over Wernicke’s area a shortening of naming latency was observed compared with naming without rTMS (p < 0.001). No significant effects on picture naming were observed 2 minutes later or at any time after stimulation of the right-hemisphere homologues of Wernicke’s area, Broca’s area, or the visual cortex.

CONCLUSION: Repetitive transcranial magnetic stimulation over Wernicke’s area leads to a brief facilitation of picture naming by shortening linguistic processing time.

Key words: Repetitive transcranial magnetic stimulation—Speech-related areas—Reaction time—Linguistic.




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