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RESEARCH PRODUCT

Chapter 35 Transcranial magnetic stimulation in brainstem lesions and lesions of the cranial nerves

Peter P. Urban

subject

Pathologymedicine.medical_specialtybusiness.industrymedicine.medical_treatmentCranial nervesAnatomyMotor neuronmedicine.diseaseFacial nerveFacial paralysisTranscranial magnetic stimulationDysarthriamedicine.anatomical_structureCranial Nerve InjuryHypoglossal Nerve Diseasesmedicinemedicine.symptombusiness

description

Publisher Summary This chapter focuses on transcranial magnetic stimulation (TMS) applications in brainstem pathology and on the description of TMS techniques for the evaluation of motor cranial nerve function, which is an essential measure in the diagnostic workup of brain-stern lesions. Applications of TMS to the cranial nerve innervated muscles have been the objective of numerous investigations, ranging from basic neuroanatomic studies to determine the central course of corticonuclear projections to clinical applications carried out to determine the location of lesions, investigate the pathophysiology of ischemic dysarthria, detect clinically silent lesions in multiple sclerosis, obtain prognostic information regarding persistent motor deficits following cerebral ischemia, and to identify corticonuclear tract involvement in motor neuron diseases. TMS is also of clinical relevance in the evaluation of those peripheral cranial nerve lesions that most frequently affect the facial nerve.

https://doi.org/10.1016/s1567-424x(09)70238-7