Functional relevance of cortical plasticity demonstrated with transcranial magnetic stimulation (TMS)

1997 ◽  
Vol 103 (1) ◽  
pp. 21 ◽  
Author(s):  
L Cohen
2019 ◽  
Vol 207 ◽  
pp. 37-47 ◽  
Author(s):  
Urvakhsh Meherwan Mehta ◽  
Milind Vijay Thanki ◽  
Jaya Padmanabhan ◽  
Alvaro Pascual-Leone ◽  
Matcheri S. Keshavan

2016 ◽  
Vol 18 (suppl_6) ◽  
pp. vi123-vi123
Author(s):  
Sandro M. Krieg ◽  
Sebastian Ille ◽  
Neal Conway ◽  
Noemi Wildschuetz ◽  
Lucia Bulubas ◽  
...  

2008 ◽  
Vol 586 (16) ◽  
pp. 3927-3947 ◽  
Author(s):  
Masashi Hamada ◽  
Yasuo Terao ◽  
Ritsuko Hanajima ◽  
Yuichiro Shirota ◽  
Setsu Nakatani-Enomoto ◽  
...  

2004 ◽  
Vol 100 (3) ◽  
pp. 560-564 ◽  
Author(s):  
Dirk De Ridder ◽  
Gert De Mulder ◽  
Vincent Walsh ◽  
Neil Muggleton ◽  
Stefan Sunaert ◽  
...  

✓ Tinnitus is a distressing symptom that affects up to 15% of the population for whom no satisfactory treatment exists. The authors present a novel surgical approach for the treatment of intractable tinnitus, based on cortical stimulation of the auditory cortex. Tinnitus can be considered an auditory phantom phenomenon similar to deafferentation pain, which is observed in the somatosensory system. Tinnitus is accompanied by a change in the tonotopic map of the auditory cortex. Furthermore, there is a highly positive association between the subjective intensity of the tinnitus and the amount of shift in tinnitus frequency in the auditory cortex, that is, the amount of cortical reorganization. This cortical reorganization can be demonstrated by functional magnetic resonance (fMR) imaging. Transcranial magnetic stimulation (TMS) is a noninvasive method of activating or deactivating focal areas of the human brain. Linked to a navigation system that is guided by fMR images of the auditory system, TMS can suppress areas of cortical plasticity. If it is successful in suppressing a patient's tinnitus, this focal and temporary effect can be perpetualized by implanting a cortical electrode. A neuronavigation-based auditory fMR imaging-guided TMS session was performed in a patient who suffered from tinnitus due to a cochlear nerve lesion. Complete suppression of the tinnitus was obtained. At a later time an extradural electrode was implanted with the guidance of auditory fMR imaging navigation. Postoperatively, the patient's tinnitus disappeared and remains absent 10 months later. Focal extradural electrical stimulation of the primary auditory cortex at the area of cortical plasticity is capable of suppressing contralateral tinnitus completely. Transcranial magnetic stimulation may be an ideal method for noninvasive studies of surgical candidates in whom stimulating electrodes might be implanted for tinnitus suppression.


Author(s):  
Teresa Schuhmann

This chapter illustrates how transcranial magnetic stimulation (TMS) can be used to investigate the functional relevance and temporal characteristics of language-related brain networks for various aspects of language processing. In contrast to neuroimaging methods establishing mainly correlative relationships between patterns of neural activity and cognitive functions, TMS enables a direct manipulation of neural network activity with respective functional consequences on behavior and cognition. Examples of whether and how TMS has been demonstrated to unravel such functional brain-behavior relationships in the domain of language processing, which is unarguably one of the most complex human abilities one could aim to investigate from a neuroscience perspective, are presented. This chapter therefore first introduces the basic principles and mechanisms of action underlying TMS, including the many possible application protocols. Based on the understanding that TMS can investigate both the spatial as well as temporal characteristics of the neural correlates of language, the suitability and limitations of TMS in language research are discussed. Next, examples of TMS language studies that have successfully employed the different advantages of TMS are presented. Finally, the applicability of TMS for clinical populations in the context of language-related deficits such as aphasia are reviewed briefly, followed by a short outlook on future perspectives of TMS in the study of language.


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