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Multiple Sclerosis
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research-article

Improvement of hand dexterity following motor cortex rTMS in multiple sclerosis patients with cerebellar impairment

G Koch

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy giakoch{at}libero.it

S Rossi

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

C Prosperetti

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

C Codecà

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

F Monteleone

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

L Petrosini

Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy; Dipartimento di Psicologia, Università La Sapienza, Rome, Italy

G Bernardi

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

D Centonze

Clinica Neurologica, Dipartimento di Neuroscienze, Università Tor Vergata, Rome, Italy; Centro Europeo per la Ricerca sul Cervello (CERC)/Fondazione Santa Lucia, Rome, Italy

We tested the effects of 5-Hz repetitive transcranial magnetic stimulation (rTMS) over the motor cortex in multiple sclerosis (MS) subjects with cerebellar symptoms. rTMS improved hand dexterity in cerebellar patients (n = 8) but not in healthy subjects (n = 7), as detected by a significant transient reduction of the time required to complete the nine-hole pegboard task. rTMS of the motor cortex may be a useful approach to treat cerebellar impairment in MS patients.

Key Words: cerebellum • motor functions • multiple sclerosis • rTMS • transcranial magnetic stimulation

This version was published on August 1, 2008

Multiple Sclerosis, Vol. 14, No. 7, 995-998 (2008)
DOI: 10.1177/1352458508088710
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