Low-frequency rTMS inhibitory effects in the primary motor cortex: Insights from TMS-evoked potentials.

The neuromodulatory effects of repetitive transcranial magnetic stimulation (rTMS) have been mostly investigated by peripheral motor-evoked potentials (MEPs). New TMS-compatible EEG systems allow a direct investigation of the stimulation effects through the analysis of TMS-evoked potentials (TEPs). We investigated the effects of 1-Hz rTMS over the primary motor cortex (M1) of 15 healthy volunteers on TEP evoked by single pulse TMS over the same area. A second experiment in which rTMS was delivered over the primary visual cortex (V1) of 15 healthy volunteers was conducted to examine the spatial specificity of the effects. Single-pulse TMS evoked four main components: P30, N45, P60 and N100. M1-rTMS resulted in a significant decrease of MEP amplitude and in a significant increase of P60 and N100 amplitude. There was no effect after V1-rTMS. 1-Hz rTMS appears to increase the amount of inhibition following a TMS pulse, as demonstrated by the higher N100 and P60, which are thought to originate from GABAb-mediated inhibitory post-synaptic potentials. Our results confirm the reliability of the TMS-evoked N100 as a marker of cortical inhibition and provide insight into the neuromodulatory effects of 1-Hz rTMS. The present finding could be of relevance for therapeutic and diagnostic purposes.

Superior parietal cortex and the attention to delayed intention: An rTMS study.

Prospective memory (PM) is the ability to remember to carry out an intention when the appropriate cue occurs. This study aimed to investigate whether the superior parietal cortex is causally involved in PM and, if so, what is its functional role. We applied repetitive transcranial magnetic stimulation (rTMS) to the left and right superior parietal cortex, and we evaluated the TMS effects on two different PM tasks that required to direct the attention towards either the external stimuli ('Monitoring-load' task) or the intention in memory ('Retrospective-load' task). rTMS of left parietal cortex produced a facilitation of PM performance in both tasks. This was coupled by slower responses to the ongoing activity, for left and right parietal stimulation, but selectively in the 'Retrospective-load' condition. The present results suggest that superior parietal cortex is causally involved in biasing top-down attentional resources between the external, ongoing stimuli and the internal, PM intentions. The possible physiological mechanisms underlying the TMS-related improvement in PM performance are discussed.