Caffeine and cortical excitability, as measured with paired-pulse transcranial magnetic stimulation

Kristine Strunge, Hugh Bostock, James Howells, Bülent Cengiz, Gintaute Samusyte, Martin Koltzenburg, Hatice Tankisi*

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

Introduction/Aims: The transcranial magnetic stimulation tests of short-interval intracortical inhibition (SICI) by both conventional amplitude measurements (A-SICI) and threshold-tracking (T-SICI) are important methods to investigate intracortical inhibitory circuits, and T-SICI has been proposed to aid the diagnosis of amyotrophic lateral sclerosis. Beverages containing caffeine are widely consumed, and caffeine has been reported to affect cortical excitability. The aim of this study was to determine whether these SICI tests are affected by caffeine. Methods: Twenty-four healthy subjects (13 females, 11 males, aged from 19 to 31, mean: 26.2 ± 2.4 years) were studied in a single fixed-dose randomized double-blind placebo-controlled cross-over trial of 200 mg caffeine or placebo ingested as chewing gum. A-SICI and T-SICI, using parallel tracking (T-SICIp), were performed before and after chewing gum. Results: There was no significant change in SICI parameters after placebo in A-SICI (p >.10) or T-SICIp (p >.30), and no significant effect of caffeine was found on A-SICI (p >.10) or T-SICIp (p >.50) for any of the interstimulus intervals. Discussion: There is no need for caffeine abstention before measurements of SICI by either the T-SICI or A-SICI measurements.

Original languageEnglish
JournalMuscle and Nerve
Volume69
Issue2
Pages (from-to)206-212
Number of pages7
ISSN0148-639X
DOIs
Publication statusPublished - Feb 2024

Keywords

  • caffein, threshold tracking SICI
  • short-interval intracortical inhibition
  • SICI
  • trancranial magnetic stimulation

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