Professor Robert Chen
Editor-in-Chief, Clinical Neurophysiology
Michele Maiella, Lucia Mencarelli, Elias P. Casula, Ilaria Borghi, Martina Assogna, Francesco di Lorenzo, Sonia Bonnì, Valentina Pezzopane, Alessandro Martorana, Giacomo Koch
Alzheimer's disease (AD) is the most common form of dementia. In this volume of Clinical Neurophysiology, Maiella et al. used a multimodal approach with transcranial magnetic stimulation evoked EEG responses (TMS-EEG), resting state functional magnetic resonance imaging (rsfMRI) and diffusion tensor imaging (DTI) tractography to investigate brain connectivity in AD. The study specifically targeted the default mode network (DMN), identified based on fMRI studies, which includes the precuneus, anterior cingulate cortex and inferotemporal cortex. When targeting the precuneus, TMS-EEG showed markedly impaired signal propagation within the DMN in AD compared to controls, and the results correlate with findings from functional and structural MRI. The results not only highlight impaired connectivity within the DMN as a notable finding in AD, but the utility of TMS-EEG as a tool to assess brain connectivity with high temporal resolution in neurological and psychiatric disorders.