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From the Department of Neurology (Drs. Mottaghy, Gangitano, Horkan, Chen, Pascual-Leone, and Schlaug), Beth Israel Deaconess Medical Center, Boston, MA; Department of Nuclear Medicine (Dr. Mottaghy), Heinrich-Heine University Düsseldorf, Research Center Jülich, Germany; and Istituto di Neuro-psichiatria (Dr. Gangitano), Università degli Studi di Palermo, Palermo, Italy.
Address correspondence and reprint requests to Dr. Felix M. Mottaghy, Department of Nuclear Medicine, University Hospital Ulm, Robert-Koch-Str.8, D-89070 Ulm, Germany; e-mail: felix.mottaghy{at}medizin.uni-ulm.de
The authors investigated whether repetitive transcranial magnetic stimulation (rTMS) at 1 Hz (12 minutes; 90% of motor threshold) to the primary motor cortex (M1) leads to changes in diffusion-weighted imaging (DWI). After the rTMS train, there was a temporary small restriction in diffusion within the targeted left M1 that disappeared after 5 minutes. These findings provide a physiologic correlate to the reported behavioral consequences of off-line 1-Hz rTMS and reveal the transitory nature of the effects.
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T. Duning, A. Rogalewski, O. Steinstraeter, H. Kugel, A. Jansen, C. Breitenstein, S. Knecht, F. M. Mottaghy, A. Pascual-Leone, and G. Schlaug Repetitive TMS temporarily alters brain diffusion Neurology, June 8, 2004; 62(11): 2144 - 2145. [Full Text] |
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