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NEUROLOGY 2005;65:623-625
© 2005 American Academy of Neurology


Brief Communications

rTMS of supplementary motor area modulates therapy-induced dyskinesias in Parkinson disease

G. Koch, MD, L. Brusa, MD, C. Caltagirone, MD, A. Peppe, MD, M. Oliveri, MD, P. Stanzione, MD and D. Centonze, MD

From the Fondazione Santa Lucia IRCCS (Drs. Koch, Brusa, Caltagirone, Peppe, Oliveri, Stanzione, and Centonze), Rome, Clinica Neurologica (Drs. Koch, Brusa, Caltagirone, Stanzione, and Centonze), Dipartimento di Neuroscienze, Università di Tor Vergata, Rome, and Dipartimento di Psicologia (Dr. Oliveri), Università di Palermo, Italy.

Address correspondence and reprint requests to Dr. G. Koch, Fondazione Santa Lucia, IRCCS, Laboratorio di Neurologia Clinica e Comportamentale, Via Ardeatina 306, 00179 Roma, Italy; e-mail: Giakoch{at}libero.it.

The neural mechanisms and circuitry involved in levodopa-induced dyskinesia are unclear. Using repetitive transcranial magnetic stimulation (rTMS) over the supplementary motor area (SMA) in a group of patients with advanced Parkinson disease, the authors investigated whether modulation of SMA excitability may result in a modification of a dyskinetic state induced by continuous apomorphine infusion. rTMS at 1 Hz was observed to markedly reduce drug-induced dyskinesias, whereas 5-Hz rTMS induced a slight but not significant increase.


Disclosure: The authors report no conflicts of interest.

Received February 9, 2005. Accepted in final form April 18, 2005.




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