Abstract
In patients with chronic stroke, the primary motor cortex of the intact hemisphere (M1intact) may influence functional recovery, possibly through transcallosal effects exerted over Ml in the lesioned hemisphere (Mllesioned). Here, we studied interhemispheric inhibition (IHI) between Mlintact and M1lesioned in the process of generation of a voluntary movement by the paretic hand in patients with chronic subcortical stroke and in healthy volunteers. IHI was evaluated in both hands preceding the onset of unilateral voluntary index finger movements (paretic hand in patients, right hand in controls) in a simple reaction time paradigm. IHI at rest and shortly after the Go signal were comparable in patients and controls. Closer to movement onset, IHI targeting the moving index finger turned into facilitation in controls but inhibition still continued in patients, a finding that correlated with poor motor performance. IHI targeting the resting finger remained deep all through the reaction time. In case of intact hand movement, IHI targeting the moving fingers showed similar facilitation with that in control subjects. These results suggest an abnormally high interhemispheric inhibitory drive from M1intact to M1lesioned in the paretic hand movement. It is conceivable that this abnormality could adversely influence motor recovery in some patients with subcortical stroke.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Chollet F, DiPiero V, Wise J (1991) The functional anatomy of motor recovery after stroke in humans: a study with positron emission tomography. Ann Neurol 29: 63–71
Cao Y, D’Olhaberriague, Vikingstad M (1998) Pilot study of functional MRI to assess cerebral activation of motor function after post stroke hemiparesis. Stroke 29: 112–122
Marshall R, Perera M, Lazar M (2000) Evolution of cortical activation during recovery from corticospinal tract infarction. Stroke 31: 656–661
Traversa R, Cicinelli P, Pasqualetti P (1998) Follow-up of interhemispheric differences of motor evoked potentials from the “affected” and “unaffected” hemispheres in human stroke. Brain Res 803: 1–8
Trompetto C, Assini A, Buccolieri A (2000) Motor recovery following stroke: a transcranial magnetic stimulation study. Clin Neurophysiol 111: 1860–1867
Netz J, Lammers T, Homberg V (1997) Reorganization of motor output in the non-affected hemisphere after stroke. Brain 120: 1579–1586
Young M, The Technical Writer’s Handbook, Mill Valley, CA: University Science, 1989.
Boroojerdi B, Diefenbach K, Ferbert A (1996) Transcallosal inhibition in cortical and subcortical cerebral vascular lesions. J Neurol Sci 144: 160–170
Murase N, Duque J, Mazzocchio R (2004) Influence of Interhemispheric In teractions on Motor function in Chronic Subcortical Stroke. Ann Neurol 55: 400–409
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer
About this chapter
Cite this chapter
Murase, N., Duque, J., Mazzocchio, R., Cohen, L.G. (2007). Influence of Interhemispheric Interactions on Paretic Hand Movement in Chronic Subcortical Stroke. In: Wu, J.L., Ito, K., Tobimatsu, S., Nishida, T., Fukuyama, H. (eds) Complex Medical Engineering. Springer, Tokyo. https://doi.org/10.1007/978-4-431-30962-8_26
Download citation
DOI: https://doi.org/10.1007/978-4-431-30962-8_26
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-30961-1
Online ISBN: 978-4-431-30962-8
eBook Packages: EngineeringEngineering (R0)