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PubMed1997

Somatotopy in the human motor cortex hand area. A high-resolution functional MRI study.

Fine-scale somatotopic encoding in brain areas devoted to sensorimotor processing has recently been questioned by functional neuroimaging studies which suggested its absence within the hand area of the human primary motor cortex. We re-examined this issue by addressing somatotopy both in terms of functional segregation and of cortical response preference using oxygenation-sensitive magnetic resonance imaging at high spatial resolution. In a first step, spatial representations of self-paced isolated finger movements were mapped by using motor rest as a control state. A subsequent experimental design studied the predominance of individual finger movements by using contrasting finger movements as the control task. While the first approach confirmed previous reports of extensive overlap in spatial representations, the second approach revealed foci of differential activation which displayed an orderly mediolateral progression in accordance with the classical cortical motor homunculus. We conclude that somatotopy within the hand area of the primary motor cortex does not present as qualitative functional segregation but as quantitative predominance of certain movement or digit representation embedded in an overall joint hand area.

Adult↗

PubMed1982

[Reorganization of the synapsoarchitectonics of the rat red nucleus after destruction of the motor cortex of the cerebral hemispheres].

In 50 white rats the red nucleus synaptic organization both normal and at various time (1, 2, 3, 5, 7, 10, 14, 21, 30 and 60 days) after destruction of the cerebral cortical motor area has been studied electron microscopically. Peculiarities of the synaptic organization in the parvicellular and macrocellular parts of the red nucleus and reorganization of the synapsoarchitectonics are demonstrated after the motor cortex has been destroyed. During the first 2-3 weeks after the destruction, certain degenerative changes are mainly noted in the parvicellular area of the red nucleus. Small axonal terminals with round light synaptic vesicles are subjected to degeneration according to the dark type, they form asymmetric synapses on small, sometimes--on middle dentritic branches. On the 21-30th day, together with the degenerative changes, plastic reorganization of the red nucleus synapsoarchitectonics both in the parvicellular area and in the macrocellular areas adjoining the latter are noted. Evidently, this reorganization takes place at the expense of the cerebello-rubral fibres. The participation of the inter-posito-rubral fibres terminating in the macrocellular part of the red nucleus is definitely stated. Their large terminals form synapses on the soma and the proximal dendrites of the giant and large neurons. It is from these axonal terminals that the growth cones take their origin on the 21st day after the destruction of the motor cortex. Later (on the 30th and the 60th day) new processes and synapses appear in the parvicellular part of the red nucleus. Some dendrites undergo certain changes. Dendro-dendritic synapses and complex synaptic contacts appear.

Animals↗

PubMed1990

Absence of responses to microstimulation at the hand-face border in baboon primary motor cortex.

Intracortical microstimulation (ICMS) was used to map the primary motor cortex of four adult female baboons, anesthetized with a mixture of halothane and nitrous oxide and supplemented with sodium pentobarbital. The sequence of observed muscle contractions in response to ICMS provided evidence of an orderly mototopic representation of the tongue, face, hand, forearm and upper body. A zone of cortex unresponsive to microstimulation was consistently observed at the border between the face and hand representation of the mototopic map. This zone was observed in all four animals and was consistent over time. Repeated confirmations of the unresponsive nature of these regions were obtained both early and late in the same experiment. No motor-unit responses or muscle contractions were detected by electromyographic (EMG) recording during stimulation of the unresponsive zones. The absence of both visually observed and EMG-recorded contractions and the fact that muscle contractions could be elicited from adjacent regions of cortex with ICMS as low as 1-5 microA provide compelling evidence that the finding reflects a true physiological condition rather than an experimental artifact.

Animals↗

PubMed2002

Reduction of excitability ("inhibition") in the ipsilateral primary motor cortex is mirrored by fMRI signal decreases.

Functional magnetic resonance imaging (fMRI) was used to investigate how focal cortical inhibition affects the blood oxygen level-dependent (BOLD) signal. Phasic low force pinch grip reduces excitability of the ipsilateral primary motor cortex. This task was used to study BOLD signal changes during inhibition. Six right-handed normal volunteers participated in the study. They were asked to perform a right-handed pinch grip repetitively at 1 Hz and 5% of their individual maximal voluntary contraction (MVC). Data were acquired with a 1.5 Tesla Magnetom and continuous multislice T2*-weighted images. The contralateral primary motor cortex (M1) revealed an activation in the knob-shaped hand representation of the central sulcus area. More importantly, a decreased (often referred to as "negative") BOLD signal in the ipsilateral M1 was observed. We suggest phasic low force pinch grip as a reproducible, easy model of focal inhibition. Decreased cortical excitability presents as decreased BOLD signal using fMRI.

Adult↗

PubMed2001

Intravenous clomipramine decreases excitability of human motor cortex. A study with paired magnetic stimulation.

Several recent reports suggest the possibility of monitoring pharmacological effects on brain excitability through transcranial magnetic stimulation (TMS). In these studies, paired magnetic stimulation has been used in normal subjects and on patients who were taking different antiepileptic drugs. The aim of our study was to investigate motor area excitability on depressed patients after intravenous administration of a single dose of clomipramine, a tricyclic antidepressant. Motor cortex excitability was studied by single and paired transcranial magnetic stimulation (TMS) before and after 4, 8 and 24 h from intravenous administration of 25 mg of clomipramine. Cortical excitability was measured using different TMS parameters: motor threshold (MT), motor evoked potential (MEP) amplitude, duration of cortical silent period (CSP), intracortical inhibition (ICI) and intracortical facilitation (ICF). Spinal excitability and peripheral nerve conduction was measured by F response and M wave. A temporary but significant increase of motor threshold and intracortical inhibition and a decrease of intracortical facilitation were observed 4 h following drug administration. MEP amplitude, cortical silent period, F response and M wave were not significantly affected by drug injection. Our findings suggest that a single intravenous dose of clomipramine can exert a significant but transitory suppression of motor cortex excitability in depressed patients. TMS represents a useful research tool in assessing the effects of motor cortical excitability of neuropsychiatric drugs used in psychiatric disease.

Adult↗

PubMed1988

Corticocortical synaptic influences on morphologically identified pyramidal neurones in the motor cortex of the monkey.

1. Corticocortical synaptic influences on pyramidal neurones in the precentral motor cortex of monkeys were examined using intracellular recordings. Corticocortical afferents from the postarcuate premotor area and the somatic sensory cortical areas were activated by bifocal stimulation of the cortical surface. Neurones that were found to respond orthodromically to such stimuli were labelled by intracellular ionophoresis of horseradish peroxidase. 2. Almost all neurones that were penetrated satisfactorily and labelled successfully were found to be pyramidal neurones located in lamina III or lamina V. Some labelled neurones in lamina V were also characterized as pyramidal tract neurones (PTNs) by antidromic activation from the cerebral peduncles or medullary pyramids. 3. Pyramidal neurones located in lamina III and lamina V (including PTNs) were excited at short latency by stimulation of the premotor cortex (1.1-4.0 ms) and somatosensory cortex (1.1-6.5 ms). There were no statistical differences in the distributions of latencies of corticocortical EPSPs between those evoked in lamina III neurones and those recorded in lamina V neurones, or between corticocortical EPSPs evoked from the premotor cortex in comparison with those from the somatosensory cortex. Excitatory responses to stimulation of the premotor area were usually more difficult to evoke and smaller in amplitude than those produced by stimulation of the somatosensory areas. 4. Corticocortical EPSPs were often followed by IPSPs. The amplitudes of the EPSPs and IPSPs could be increased by increasing the stimulus intensity. In a few neurones IPSPs that were not preceded by EPSPs were recorded.

Animals↗

PubMed1994

N-methyl-D-aspartate receptor mediated component of field potentials evoked in horizontal pathways of rat motor cortex.

To identify potential sites of synaptic modification of intrinsic cortical circuits, the contribution of the N-methyl-D-aspartate type of glutamate receptors to field potentials evoked in horizontal and oblique intracortical pathways was examined in rat motor cortex slice preparations. Presumably monosynaptic, short latency responses with a prominent negativity (-0.4 to -2.0 mV) were recorded in both superficial (across layer III) and deep (across layer V) horizontal pathways at a distance of approximately equal to 500 microns lateral to electrical stimulation sites and in oblique V-III pathway (-0.3 to -1.6 mV). Bath application of the N-methyl-D-aspartate receptor antagonist D,L-2-amino-5-phosphonovaleric acid (100 microM) reversibly decreased field potentials. Although decreases were observed in all components of the waveform, the most pronounced effect was on the late phase of the response. D,L-2-Amino-5-phosphonovaleric acid produced on average a 22% decrease in area, 12% in initial slope and 11% in peak amplitude of responses. Combined application of 100 microM D,L-2-amino-5-phosphonovaleric acid and a non-N-methyl-D-aspartate glutamate receptor antagonist, 6-cyano-7-nitro- or 6,7-dinitro-quinoxaline-2,3- dione (10-20 microM), eliminated all but a small, early and presumably non-synaptic response. In 18 of 23 cases, the relative contribution of the D,L-2-amino-5-phosphonovaleric acid-sensitive component was unrelated to field potential magnitude, suggesting that this component is present in all fiber classes. It is concluded that glutamate is the major transmitter of horizontal connections of layers II/III and layer V, as well as in the oblique V-III pathway. While most glutamatergic transmission is relayed by other glutamate receptor subtypes, N-methyl-D-aspartate receptor activation contributes a small but consistent part of ordinary transmission in each of these pathways in vitro. The results further suggest that a potential for N-methyl-D-aspartate receptor-mediated synaptic modification exists in intrinsic horizontal pathways of both superficial and deep layers of rat motor cortex.

2-Amino-5-phosphonovalerate↗

PubMed1978

Projections of the precentral motor cortex and other cortical areas of the frontal lobe to the subthalamic nucleus in the monkey.

Corticofugal projections were examined by means of the autoradiographic tracer method in 21 macaca fascicularis. The labeled material was injected into the main body representation areas of the precentral motor cortex and into various regions of Brodmann's areas 6, 8 and 9 of the frontal lobe. The ipsilateral subthalamic nucleus receives a moderately strong and somato-topically organized projection from Woolsey's precentral motor cortex. This projection is mainly restricted to the lateral moiety. The remaining nucleus is occupied by less intensive projections from premotor and prefrontal areas. It is concluded that the subthalamic nucleus is a convergence site of pallidal and corticomotor and frontal projections. Cortical afferents may exert an influence on the pallido-subthalamic-pallidal inhibitory feedback loop.

Animals↗

PubMed2000

Motor cortex excitability in chronic fatigue syndrome.

OBJECTIVE: To use transcranial magnetic stimulation (TMS) to define motor cortical excitability in chronic fatigue syndrome (CFS) subjects during a repetitive, bilateral finger movement task. METHODS: A total of 14 CFS patients were tested and compared with 14 age-matched healthy control subjects. TMS of the motor cortex (5% above threshold) was used to elicit motor evoked potentials (MEPs). Subjects performed regular (3-4/s) repetitive bilateral opening-closing movements of the index finger onto the thumb. MEPs of the first dorsal interosseus (FDI) were measured before, immediately following exercise periods of 30, 60 and 90 s, and after 15 min of rest. RESULTS: Performance, defined by rate of movement, was significantly slower in CFS subjects (3.5/s) than in controls (4. 0/s) independent of the hand measured. The rate, however, was not significantly affected by the exercise duration for either group. The threshold of TMS to evoke MEPs from the FDI muscle was significantly higher in CFS than in control subjects, independent of the hemisphere tested. A transient post-exercise facilitation of MEP amplitudes immediately after the exercise periods was present in controls independent of the hemisphere tested, but was absent in CFS subjects. A delayed facilitation of MEPs after 15-30 min of rest was restricted to the non-dominant hemisphere in controls; delayed facilitation was absent in CFS subjects. CONCLUSIONS: Individuals with CFS do not show the normal fluctuations of motor cortical excitability that accompany and follow non-fatiguing repetitive bimanual finger movements.

Adult↗

PubMed2006

Effects of transcutaneous electrical nerve stimulation on motor cortex excitability in writer's cramp: neurophysiological and clinical correlations.

We recently reported that transcutaneous electrical nerve stimulation (TENS) applied over forearm flexor muscles, a paradigm producing in physiological conditions transient changes in corticomotoneuronal excitability of forearm muscles, may improve motor symptoms in writer's cramp (WC). In the present study, we explored the possibility that one or repeated sessions of TENS might have beneficial effects on handwriting in WC by remodulating cortical excitability of forearm agonist and antagonist muscles. Motor evoked potentials (MEPs) after transcranial magnetic stimulation of the left motor cortex were recorded from the right flexor carpi radialis (FCR) and extensor carpi radialis (ECR) muscles, before and after 1 and 15 sessions of TENS applied over flexor muscles in patients and in a control group. One session of TENS induced a significant smaller reduction of MEPs from the FCR and a smaller increase of the MEPs from the ECR in patients than in normal subjects. In WC, repeated sessions of TENS had the effect to decrease MEP amplitude in the FCR and to increase it in the ECR. This modulation was paralleled by a handwriting improvement. In conclusion, repeated TENS sessions may have the effect to re-modulate excitability of the motor cortex in WC and this modulation might partially play a role in temporarily improving the handwriting.

Adult↗

PubMed2000

Opposite hemispheric lateralization effects during speaking and singing at motor cortex, insula and cerebellum.

Aside from spoken language, singing represents a second mode of acoustic (auditory-vocal) communication in humans. As a new aspect of brain lateralization, functional magnetic resonance imaging (fMRI) revealed two complementary cerebral networks subserving singing and speaking. Reproduction of a non-lyrical tune elicited activation predominantly in the right motor cortex, the right anterior insula, and the left cerebellum whereas the opposite response pattern emerged during a speech task. In contrast to the hemodynamic responses within motor cortex and cerebellum, activation of the intrasylvian cortex turned out to be bound to overt task performance. These findings corroborate the assumption that the left insula supports the coordination of speech articulation. Similarly, the right insula might mediate temporo-spatial control of vocal tract musculature during overt singing. Both speech and melody production require the integration of sound structure or tonal patterns, respectively, with a speaker's emotions and attitudes. Considering the widespread interconnections with premotor cortex and limbic structures, the insula is especially suited for this task.

Adult↗

PubMed1999

Preoperative PET activation for assessment of motor cortex area in precentral chondroma.

BACKGROUND: A main problem in the preoperative planning for precentral tumors is the exact assessment of the spatial relationship between the tumor and the functionally relevant brain areas, which may be difficult using only morphologically oriented imaging (CT, MRI). Therefore, we applied motor activation PET and PET/MRI overlay in a patient with a precentral tumor. DESCRIPTION: We report the case of a 21-year-old woman suffering from progressive right-sided headache and intermittent dysesthesia of the left leg. MRI showed a hypointense tumor with inhomogenous contrast enhancement in the right precentral area. For preoperative assessment of the spatial relationship between the tumor and the motor cortex area, the patient underwent two F-18-fluorodeoxyglucose positron emission tomography (PET) scans (1. resting condition and 2. motor activation of the left leg) and subsequent calculation of subtraction images of activation minus rest. Fusion of PET and MRI data (PET/MRI overlay) was performed for bimodal function and morphology presentation. PET revealed an activation pattern behind and below the tumor, indicating that the motor cortex area was shifted to the back. PET findings were confirmed by intraoperative electrophysiology. Cortical stimulation combined with intraoperative neuronavigation localized the motor area of the left foot and leg exactly at the dorsal border, below and lateral to the lesion. After complete resection of the solid tumor, histopathological examination revealed a chondroma. The postoperative course was uneventful, and the patient was discharged without neurological deficits. CONCLUSIONS: This case shows that biomodal imaging (PET/MRI) provides a noninvasive exact assessment of functionally important cortex areas for preoperative planning in patients with cerebral lesions.

Adult↗

PubMed2002

The motor cortex approximately 20 Hz rhythm reacts differently to thumb and middle finger stimulation: an MEG study.

The human thumb is functionally and morphologically different from the other digits, enabling capability for a wide range of movements and for precision grasping. We investigated the reactivity of the magnetic approximately 20 Hz motor cortex rhythm by stimulating thumb and middle finger electrically and by quantifying the poststimulus rebounds. The level of the approximately 20 Hz rhythm level was significantly higher after thumb than middle finger stimulation. In contrast, the somatosensory 20-ms responses were stronger after middle finger than the thumb stimulation. We found an inverse thumb/middle finger ratio between the 20 ms responses and the reactivity of the approximately 20 Hz motor cortex rhythm. Thus the sensorimotor processing differs for thumb and middle finger in the human primary motor and somatosensory cortices.

Adult↗

PubMed1994

[Morphometric study of motor cortex in acute focal epilepsy rat induced by coriaria lactone].

Twenty adult male Wistar rats were divided randomly into two groups (10 rats for LM, 10 rats for EM). The experimental rats were injected with convulsive dosage 3.8 microliters (19 micrograms) of coriaria lactone (CL) in the left cerebral motor cortex of the fore limb to induce acute focal epilepsy. The control rats were injected with normal saline of the same volume and at the same location. Motor cortex was cut coronally 2 hours after seizure and the layer V was studied morphometrically. Under x400 and x7000, take photos of focus, parafocus areas respectively for morphometric study. The number of neurons and neuroglias of layer V was counted in the LM photos. The number of presynaptic terminals of the neuropil was counted in the x7000 EM photos and the area fraction of each constitute in the neuropil was measured. The positive results demonstrated that the number of neurons and neuroglias in the focus and parafocus areas of the experimental animals was significantly lower than that in the control group, the side injected was lower than the other side and it was the lowest in the focus. The number and area fraction of the presynaptic terminals of the experimental rats at the focus neuropil decreased significantly, but the area fraction of neuroglial components increased significantly. The authors suggest that the convulsive dosage of CL may have toxic effect on some neurons and neuroglias and therefore to decrease the number of both types of cells and the number and area fraction of presynaptic terminals in the neuropil.(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Disease↗

PubMed2005

Effect of brain surgery on auditory and motor cortex activation: a preliminary functional magnetic resonance imaging study.

OBJECTIVE: The effect of glioma removal on blood oxygen level-dependent (BOLD) functional magnetic resonance imaging (fMRI) activation has not been widely documented. The aim of this preliminary study was to observe the effect of tumor resection on BOLD fMRI of the auditory and motor cortices. METHODS: Seven patients with gliomas underwent preoperative and early postoperative BOLD fMRI, and five of them underwent additional late postoperative BOLD fMRI. The auditory and motor cortices were localized with activation studies. A hemispheric activation index was used to quantify the relative extent of BOLD activation. RESULTS: The resection of a glioma with preoperative edema resulted in an increase from the preoperative to the early postoperative fMRI on auditory BOLD activation on the side of the tumor compared with the contralateral side. The same phenomenon was observed in one patient with motor BOLD activation. However, when no preoperative edema was present, a transient decrease in relative auditory BOLD activation was found. CONCLUSION: The results of this study suggest that the resection of a glioma with preoperative edema affecting the auditory and/or motor cortex may cause a transient increase in the BOLD response ipsilateral to the tumor. It seems that when the tumor is resected, the pressure on the brain, specifically on the affected auditory and/or motor cortex, decreases and the functional cortex becomes more easily detectable in BOLD fMRI.

Adolescent↗

PubMedDate not supplied

Insights into motor performance and muscle fatigue based on transcranial stimulation of the human motor cortex.

1. Direct cortical stimulation of motor and sensory areas of the cortex in experimental animals and some neurosurgical patients has provided much useful physiological information. Some of the benefits of this approach can be provided in awake volunteer subjects using new techniques which activate the motor cortex thorough the skull (i.e. transcranial electrical or magnetic stimulation). 2. Both electrical and magnetic transcranial stimulation produce complex descending corticospinal volleys which usually contain a direct component (via corticofugal axons) and an indirect trans-synaptic component. Changes in cortical 'excitability' can affect the evoked corticofugal volleys and the electromyographic responses which they involve. 3. Apart from its diagnostic applications to patients with neurological disorders, transcranial stimulation has been applied to the study of a range of aspects of human motor control ranging from apparent cortical 'plasticity' to the changes in cortical behaviour produced by exercise.

Electric Stimulation↗

PubMed2001

[A specific function of the motor cortex in the reorganization of coordination in motor learning in animals and humans].

The findings suggest that a particular function of MCx in motor learning involves suppression of synergies and co-ordination which interferes with acquisition of new motor patterns. Experimental animal models based on inhibition of certain natural synergies or reflexes in the process of learning new co-ordination have been developed where the MCx is responsible for inhibition of natural motor patterns. Following the MCx lesion the natural synergies dominate again and the learned movement cannot be adequately performed. Similar disturbances occur after combined lesions of the premotor and parietal associative cortex or after lesions of the cerebellar nuclei. However, after the associative cortex or cerebellar lesions the recovery of learned co-ordinations is possible. This suggests the inhibition of inappropriate synergies or co-ordination during motor learning is a specific function of the MCx, the latter taking part in organisation of new co-ordination between posture and movement in humans as well.

Aged↗

PubMed2004

Handedness shift as a consequence of motor cortex reorganization after early functional impairment in left temporal lobe epilepsy--an fMRI case report.

The impact of epileptiform activity on the functional organization of various cortical regions is currently a widely discussed topic. Our patient, suffering from left-sided temporal lobe epilepsy with typical mesiotemporal sclerosis, had a remarkable history of a clear-cut handedness shift in early childhood. In this study, we considered the possibility of the functional reorganization of the motor cortex using functional MRI. The results reflect epileptiform activity as an important formative factor for motor cortex development in our patient.

Adolescent↗