Central Motor Conduction Time and diffusion tensor imaging metrics in children with complex motor disorders

Clin Neurophysiol. 2015 Jan;126(1):140-6. doi: 10.1016/j.clinph.2014.04.005. Epub 2014 Apr 24.

Abstract

Objectives: To explore potential correlations between Diffusion Tensor Imaging (DTI) metrics and Central Motor Conduction Time (CMCT) in a cohort of children with complex motor disorders.

Methods: For a group of 49 children undergoing assessment for potential Deep Brain Stimulation (DBS) surgery, CMCT was derived from the latency of MEPs invoked by transcranial magnetic stimulation of the contralateral motor cortex and from peripheral conduction times. Tract-Based Spatial Statistics (TBSS) was used to compare Diffusion Tensor Imaging (DTI) metrics between children with normal and abnormal CMCT. TBSS was also used to look for correlations between these metrics and CMCT across the group.

Results: Median age at assessment was 9years (range 3-19years). For 14/49 children a diagnosis of primary dystonia had been made. No correlation could be found between DTI metrics and CMCT, with no difference in metrics found between children with normal and abnormal CMCT.

Conclusions: DTI metrics did not differ between children with normal and abnormal CMCT. Tissue properties determining CMCT may not be explained by existing DTI metrics.

Significance: DTI and CMCT measurements provide complementary information for the clinical assessment of children with complex motor disorders.

Keywords: Central Motor Conduction Time; Diffusion Tensor Imaging; Dystonia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Cohort Studies
  • Deep Brain Stimulation / methods
  • Diffusion Tensor Imaging / methods*
  • Dystonic Disorders / diagnosis*
  • Dystonic Disorders / metabolism*
  • Dystonic Disorders / therapy
  • Evoked Potentials, Motor / physiology
  • Female
  • Humans
  • Male
  • Motor Cortex / physiology
  • Neural Conduction / physiology*
  • Reaction Time / physiology
  • Retrospective Studies
  • Time Factors
  • Transcranial Magnetic Stimulation / methods
  • Young Adult