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Combined functional magnetic resonance imaging and transcranial magnetic stimulation evidence of ipsilateral motor pathway with congenital brain disorder:

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Presentation on theme: "Combined functional magnetic resonance imaging and transcranial magnetic stimulation evidence of ipsilateral motor pathway with congenital brain disorder:"— Presentation transcript:

1 Combined functional magnetic resonance imaging and transcranial magnetic stimulation evidence of ipsilateral motor pathway with congenital brain disorder: A case report  Sung Ho Jang, MD, Woo Mok Byun, MD, Yongmin Chang, PhD, Bong Soo Han, PhD, Sang Ho Ahn, MD  Archives of Physical Medicine and Rehabilitation  Volume 82, Issue 12, Pages (December 2001) DOI: /apmr Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig. 1 (A) fMRI showed that the left primary sensorimotor cortex became activated by the right finger flexion-extension exercise. (B) For the left finger exercise, the same left primary sensorimotor cortex, SMA, and prefrontal area became active. The activation levels of left primary sensorimotor cortex were similar for both left and right hand exercises. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig. 2 A cloth marked with spacings 1cm apart was fitted on the scalp, which was stimulated with a 90mm (mean diameter) round coil. Only the anterior portion of the coil was tangentially placed close to the scalp, while the handgrips were placed such that they were parallel to the midsagittal line and faced the back. The side marked B on the magnetic stimulator should go on top when the right hemisphere is stimulated and the reverse when the left hemisphere is stimulated. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig. 3 MEPs recorded from (A, B) right and (C, D) left APB muscles simultaneously. No MEP was evoked when the right hemisphere was stimulated (A, C). MEPs with similar latency, amplitude, and figures were evoked from both muscles when the optimal scalp site of the left hemisphere was stimulated (B, D). Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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