Investigating cortical excitability and inhibition in patients with schizophrenia: A TMS-EEG study.
Brain Res Bull
; 212: 110972, 2024 Jun 15.
Article
en En
| MEDLINE
| ID: mdl-38710310
ABSTRACT
BACKGROUND:
Transcranial magnetic stimulation (TMS) combined with electromyography (EMG) has widely been used as a non-invasive brain stimulation tool to assess excitation/inhibition (E/I) balance. E/I imbalance is a putative mechanism underlying symptoms in patients with schizophrenia. Combined TMS-electroencephalography (TMS-EEG) provides a detailed examination of cortical excitability to assess the pathophysiology of schizophrenia. This study aimed to investigate differences in TMS-evoked potentials (TEPs), TMS-related spectral perturbations (TRSP) and intertrial coherence (ITC) between patients with schizophrenia and healthy controls. MATERIALS ANDMETHODS:
TMS was applied over the motor cortex during EEG recording. Differences in TEPs, TRSP and ITC between the patient and healthy subjects were analysed for all electrodes at each time point, by applying multiple independent sample t-tests with a cluster-based permutation analysis to correct for multiple comparisons.RESULTS:
Patients demonstrated significantly reduced amplitudes of early and late TEP components compared to healthy controls. Patients also showed a significant reduction of early delta (50-160â¯ms) and theta TRSP (30-250ms),followed by a reduction in alpha and beta suppression (220-560â¯ms; 190-420â¯ms). Patients showed a reduction of both early (50-110â¯ms) gamma increase and later (180-230â¯ms) gamma suppression. Finally, the ITC was significantly lower in patients in the alpha band, from 30 to 260â¯ms.CONCLUSION:
Our findings support the putative role of impaired GABA-receptor mediated inhibition in schizophrenia impacting excitatory neurotransmission. Further studies can usefully elucidate mechanisms underlying specific symptoms clusters using TMS-EEG biometrics.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esquizofrenia
/
Potenciales Evocados Motores
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Electroencefalografía
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Estimulación Magnética Transcraneal
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Excitabilidad Cortical
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Corteza Motora
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Brain Res Bull
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos