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Cited by 239

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Abnormal cortical motor excitability in dystonia

Ikoma, K., Samii, A., Mercuri, B., Wassermann, E. M., Hallett, M.·1996·Neurology

Abstract

To assess the excitability of the motor system, we studied 11 patients with task-specific dystonia and 11 age-matched normal subjects. The dominant side was affected in nine of the patients. We delivered transcranial magnetic stimuli at different stimulus intensities and with different levels of muscle facilitation to the side contralateral to the side of electromyographic recording, and recorded motor evoked potentials (MEPs) from the flexor carpi radialis muscles bilaterally. The threshold intensity for eliciting MEPs at rest did not differ between patients and normal subjects. We compared the affected side in patients with the dominant side in normal subjects. With facilitation, the percentage of the area of the MEP to the M wave (MEP area%) was similar in both groups at low stimulus intensities, but with increasing stimulus intensity the increase in the MEP area% was greater in patients than in normal subjects (ANOVA, p < 0.001). The increase in MEP area% was similar in both groups with increasing facilitation levels. The duration of the silent period was similar in patients and normal subjects. We conclude that cortical motor excitability is increased in dystonia.

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Metadata

Authors
Ikoma, K., Samii, A., Mercuri, B., Wassermann, E. M., & Hallett, M.
Venue
Neurology
Published
1996-05
Volume
46
Issue
5
Pages
1371-1371
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W1968565302
Cited by
239
References
2
FWCI
9.33
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Abnormal cortical motor excitability in dystonia. https://app.cochat.ai/papers/10.1212/wnl.46.5.1371
The paper
Ikoma, K., Samii, A., Mercuri, B., Wassermann, E. M., & Hallett, M. (1996). Abnormal cortical motor excitability in dystonia. Neurology. https://doi.org/10.1212/wnl.46.5.1371

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.