The sensitivity of transcranial cortical magnetic stimulation in detecting pyramidal tract lesions in clinically definite multiple sclerosis

Neurology. 1991 Apr;41(4):566-9. doi: 10.1212/wnl.41.4.566.

Abstract

We determined central motor conduction time (CMCT) (motor cortex to root C-8 and motor cortex to root S-1) as well as the amplitude of the compound muscle action potentials in the hypothenar and the abductor hallucis muscles on both sides in 44 patients with definite MS. We compared the values with standards obtained from 86 healthy controls and correlated them with the degree of clinical deficit of the limbs examined. Thirty-nine patients (88.6%) showed a prolonged CMCT. By comparison, only 74.4% of patients had abnormal visual evoked potentials.

Publication types

  • Comparative Study

MeSH terms

  • Action Potentials
  • Adult
  • Cerebral Cortex / physiopathology*
  • Evoked Potentials
  • Evoked Potentials, Visual
  • Female
  • Humans
  • Magnetics / methods*
  • Male
  • Motor Activity / physiology
  • Multiple Sclerosis / diagnosis
  • Multiple Sclerosis / pathology*
  • Muscles / innervation
  • Muscles / physiopathology
  • Neural Conduction
  • Physical Stimulation
  • Pyramidal Tracts / pathology*
  • Sensitivity and Specificity
  • Skull