J Physiol Volume 586, Number 14, 3385-3404, July 15, 2008 DOI: 10.1113/jphysiol.2008.153288
Intracortical modulation of cortical-bulbar responses for the masseter muscle
Enzo Ortu1,2,
Franca Deriu2,
Antonio Suppa1,3,
Elena Giaconi2,
Eusebio Tolu2 and
John C. Rothwell1
1 Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, UK
2
Department of Biomedical Sciences, Section of Human Physiology and Bioengineering, University of Sassari, Sassari, Italy
3
Department of Neurological Sciences and Neuromed Institute, University of Rome La Sapienza, Rome, Italy
Short interval intracortical inhibition (SICI) and intracortical facilitation (ICF) were evaluated in the masseter muscles of 12 subjects and the cortical silent period (SP) in nine subjects. Motor evoked potentials (MEPs) were recorded from contralateral (cMM) and ipsilateral (iMM) masseters, activated at 10% of maximal voluntary contraction (MVC). Interstimulus intervals (ISIs) were 2 and 3 ms for SICI, 10 and 15 ms for ICF. TMS of the left masseteric cortex induced MEPs that were larger in the cMM than the iMM; stimulation of right masseteric cortex produced a similar asymmetry in response amplitude. SICI was only observed using a CS intensity of 70% AMT and was equal in both cMM and iMM. SICI was stronger at higher TS intensities, was abolished by muscle activation greater than 10% MVC, and was unaffected by coil orientation changes. Control experiments confirmed that SICI was not contaminated by any inhibitory peripheral reflexes. However, ICF could not be obtained because it was masked by bilateral reflex depression of masseter EMG caused by auditory input from the coil discharge. The SP was bilateral and symmetric; its duration ranged from 35 to 70 ms depending on TS intensity and coil orientation. We conclude that SICI is present in the cortical representation of masseter muscles. The similarity of SICI in cMM and iMM suggests either that a single pool of inhibitory interneurons controls ipsi- and contralateral corticotrigeminal projections or that inhibition is directed to bilaterally projecting corticotrigeminal fibres. Finally, the corticotrigeminal projection seems to be weakly influenced by inhibitory interneurons mediating the cortical SP.
(Received 28 February 2008;
accepted after revision 15 May 2008;
first published online 22 May 2008)
Corresponding author F. Deriu: University of Sassari, Department of Biomedical Sciences, Section of Human Physiology and Bioengineering, Viale San Pietro 43/b, 07100 – Sassari, Italy. Email: deriuf{at}uniss.it
Copyright © 2008 The Physiological Society.