Since 1994, a relevant part of our research work has been devoted to investigate
unimanual motor control in healthy volunteers and neurological patients by
transcranial magnetic stimulation (TMS).
Namely, in patients with congenital mirror movements (MM) not associated to other
relevant motor abnormalities, we have contributed to show the coexistence of separate
crossed and uncrossed fast-conducting corticospinal projections and bilateral motor
output from both motor primary cortices (M1) during intended unimanual movements.
In contrast, in patients with Parkinson's disease, acquired MM are explained by motor
output along strictly crossed corticospinal projections from the M1 ipsilateral to the
voluntary movement: a sort of enhancement of physiological mirroring.
Most of these data are resumed in the following review:
Invited review
Neurophysiology of unimanual motor control and mirror movements
M. Cincotta a,*, U. Ziemann b
www.elsevier.com/locate/clinph
Clinical Neurophysiology 119 (2008) 744–762
Later, we had the opportunity to cooperate to some studies conducted at the
Salpêtrière: Paris, aiming to investigate the genetic and the correlation between
genetic and neurophysiological patterns in congenital MM. Below, some
representative papers:
DOI 10.1212/WNL.0b013e318207b1e0 2011;76;260Neurology
C. Depienne, M. Cincotta, S. Billot, et al.mirror movements
A novel DCC mutation and genetic heterogeneity in congenital
A second line of research addressed the cortical silent period in epilepsies:
Interictal inhibitory mechanisms in patients with cryptogenic motor cortexepilepsy: a study of the silent period following transcranial magnetic
stimulation
M. Cincotta*, A. Borgheresi, S. Lori, M. Fabbri, G. Zaccara
Electroencephalography and clinical Neurophysiology 107 (1998) 1–7
Another field of interest is the neuropsychological one, always mainly focused on
motor control. Here I would like to highlight the study of rhythmic auditory-motor
entrainment, also because characterizing the neural network underlying this ability
represents a potential tool for planning rehabilitative strategies based on auditory
cues.
Finally we participated in two controlled clinical trials on the therapeutic effects of
rTMS in partial epilepsies and in severe disorders of consciousness.