A practical guide to diagnostic transcranial magnetic stimulation: Report of an IFCN committee
► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and physiological principles of TMS are outlined. ► A detailed description how to examine corticomotor conduction to the hand, leg, trunk and facial muscles...
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| Veröffentlicht in: | Clinical neurophysiology Jg. 123; H. 5; S. 858 - 882 |
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| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Oxford
Elsevier Ireland Ltd
01.05.2012
Elsevier |
| Schlagworte: | |
| ISSN: | 1388-2457, 1872-8952, 1872-8952 |
| Online-Zugang: | Volltext |
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| Abstract | ► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and physiological principles of TMS are outlined. ► A detailed description how to examine corticomotor conduction to the hand, leg, trunk and facial muscles is presented.
Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. |
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| AbstractList | Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS.Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. Highlights ► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and physiological principles of TMS are outlined. ► A detailed description how to examine corticomotor conduction to the hand, leg, trunk and facial muscles is presented. Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. ► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and physiological principles of TMS are outlined. ► A detailed description how to examine corticomotor conduction to the hand, leg, trunk and facial muscles is presented. Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. |
| Author | Thickbroom, G.W. Oliviero, A. Mall, V. Quartarone, A. Mima, T. Rossini, P.M. Ziemann, U. Eisen, A. Rossi, S. Siebner, H.R. Groppa, S. Valls-Solé, J. Kaelin-Lang, A. Cohen, L.G. |
| AuthorAffiliation | g Department of Neurology, Inselspital, University of Bern, Bern, Switzerland i Dipartimento di Neuroscienze, Sezione Neurologia e Neurofisiologia Clinica, Università di Siena, Policlinico Le Scotte, Siena, Italy c Department of Neurology, The University of British Columbia, Vancouver, Canada h Human Brain Research Center, University Graduate School of Medicine, Kyoto, Japan k Institute of Neurology, Catholic University, Pol. Gemelli; IRCCS S. Raffaele-Pisana and Casa di Cura S. Raffaele-Cassino, Roma, Italy m Unitat d’EMG, Servei de Neurologia, Hospital Clínic, Universitat de Barcelona, Spain b Hospital Nacional de Parapléjicos, Toledo, Spain f Department of Neuropediatrics and Muscle Disorders, University of Freiburg, Freiburg, Germany j Centre for Neuromuscular and Neurological Disorders, M518, University of Western Australia, Nedlands, Australia l Department of Neurology, Goethe-University Frankfurt, Frankfurt am Main, Germany a Department of Neurology, Christian Albrechts University, Kiel, |
| AuthorAffiliation_xml | – name: f Department of Neuropediatrics and Muscle Disorders, University of Freiburg, Freiburg, Germany – name: n Danish Research Center for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark – name: d Department of Neuroscience, Psychiatry and Anesthesiology, University of Messina, Messina, Italy – name: g Department of Neurology, Inselspital, University of Bern, Bern, Switzerland – name: i Dipartimento di Neuroscienze, Sezione Neurologia e Neurofisiologia Clinica, Università di Siena, Policlinico Le Scotte, Siena, Italy – name: e Human Cortical Physiology and Stroke Neurorehabilitation Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA – name: j Centre for Neuromuscular and Neurological Disorders, M518, University of Western Australia, Nedlands, Australia – name: k Institute of Neurology, Catholic University, Pol. Gemelli; IRCCS S. Raffaele-Pisana and Casa di Cura S. Raffaele-Cassino, Roma, Italy – name: m Unitat d’EMG, Servei de Neurologia, Hospital Clínic, Universitat de Barcelona, Spain – name: a Department of Neurology, Christian Albrechts University, Kiel, Germany – name: b Hospital Nacional de Parapléjicos, Toledo, Spain – name: h Human Brain Research Center, University Graduate School of Medicine, Kyoto, Japan – name: c Department of Neurology, The University of British Columbia, Vancouver, Canada – name: l Department of Neurology, Goethe-University Frankfurt, Frankfurt am Main, Germany |
| Author_xml | – sequence: 1 givenname: S. surname: Groppa fullname: Groppa, S. organization: Department of Neurology, Christian Albrechts University, Kiel, Germany – sequence: 2 givenname: A. surname: Oliviero fullname: Oliviero, A. organization: Hospital Nacional de Parapléjicos, Toledo, Spain – sequence: 3 givenname: A. surname: Eisen fullname: Eisen, A. organization: Department of Neurology, The University of British Columbia, Vancouver, Canada – sequence: 4 givenname: A. surname: Quartarone fullname: Quartarone, A. organization: Department of Neuroscience, Psychiatry and Anesthesiology, University of Messina, Messina, Italy – sequence: 5 givenname: L.G. surname: Cohen fullname: Cohen, L.G. organization: Human Cortical Physiology and Stroke Neurorehabilitation Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA – sequence: 6 givenname: V. surname: Mall fullname: Mall, V. organization: Department of Neuropediatrics and Muscle Disorders, University of Freiburg, Freiburg, Germany – sequence: 7 givenname: A. surname: Kaelin-Lang fullname: Kaelin-Lang, A. organization: Department of Neurology, Inselspital, University of Bern, Bern, Switzerland – sequence: 8 givenname: T. surname: Mima fullname: Mima, T. organization: Human Brain Research Center, University Graduate School of Medicine, Kyoto, Japan – sequence: 9 givenname: S. surname: Rossi fullname: Rossi, S. organization: Dipartimento di Neuroscienze, Sezione Neurologia e Neurofisiologia Clinica, Università di Siena, Policlinico Le Scotte, Siena, Italy – sequence: 10 givenname: G.W. surname: Thickbroom fullname: Thickbroom, G.W. organization: Centre for Neuromuscular and Neurological Disorders, M518, University of Western Australia, Nedlands, Australia – sequence: 11 givenname: P.M. surname: Rossini fullname: Rossini, P.M. organization: Institute of Neurology, Catholic University, Pol. Gemelli; IRCCS S. Raffaele-Pisana and Casa di Cura S. Raffaele-Cassino, Roma, Italy – sequence: 12 givenname: U. surname: Ziemann fullname: Ziemann, U. organization: Department of Neurology, Goethe-University Frankfurt, Frankfurt am Main, Germany – sequence: 13 givenname: J. surname: Valls-Solé fullname: Valls-Solé, J. organization: Unitat d’EMG, Servei de Neurologia, Hospital Clínic, Universitat de Barcelona, Spain – sequence: 14 givenname: H.R. surname: Siebner fullname: Siebner, H.R. email: hartwig.siebner@drcmr.dk organization: Danish Research Center for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25668787$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/22349304$$D View this record in MEDLINE/PubMed |
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| Snippet | ► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and... Highlights ► This guideline paper provides an up-date on the clinical use of transcranial magnetic stimulation (TMS). ► The clinically relevant technical and... Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a... |
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| SubjectTerms | Biological and medical sciences Biophysics Clinical neurophysiology Cortical Spreading Depression Corticomotor conduction Electric Stimulation - methods Electrodiagnosis. Electric activity recording Electromyography Evoked Potentials, Motor Functional Laterality Guidelines as Topic - standards Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Motor-evoked potentials Muscle, Skeletal - innervation Muscle, Skeletal - physiopathology Nervous system Nervous System Diseases - diagnosis Neural Conduction Neurology Transcranial magnetic stimulation Transcranial Magnetic Stimulation - methods Transcranial Magnetic Stimulation - standards Vascular diseases and vascular malformations of the nervous system |
| Title | A practical guide to diagnostic transcranial magnetic stimulation: Report of an IFCN committee |
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