Cortical Excitability in Cyclic Vomiting Syndrome

  • STATUS
    Recruiting
  • End date
    Jun 26, 2025
  • participants needed
    110
  • sponsor
    University of Pittsburgh
Updated on 26 May 2022
Accepts healthy volunteers

Summary

This exploratory study will determine if there are differences in cortical excitability between patients suffering from cyclic vomiting syndrome (CVS) and healthy control subjects, as assessed by a non-invasive method of brain stimulation (Transcranial Magnetic Stimulation, TMS).

Description

This exploratory study will determine if there are differences in cortical excitability between patients suffering from cyclic vomiting syndrome (CVS) and healthy control subjects, as assessed by a non-invasive method of brain stimulation (Transcranial Magnetic Stimulation, TMS).

Using the paired-pulse TMS paradigm, intracortical inhibition and facilitation of cortical circuitry will be assessed by stimulating the motor cortex and using the electromyographic (EMG) response of a target muscle as readout. In such studies, a conditioning stimulus modulates the amplitude of the motor-evoked potential (MEP) produced by the test stimulus. Depending on the inter-stimulus interval, effects can be attributed to different aspects of cortical processing. Brief intervals (1-5 ms) will be used to assess short-interval intracortical inhibition (SICI) and short-interval intracortical facilitation (SICF), intermediate intervals (7-20 ms) to assess intracortical facilitation (ICF) and long intervals (50-200 ms) to assess long-interval intracortical inhibition (LICI).

Some clinical, demographic, and autonomic data (i.e. EKG) will be recorded and used as covariates to investigate any systematic impact on cortical excitability measures collected with the paired-pulse protocols.

Details
Condition Cyclic Vomiting Syndrome
Treatment TMS Paired-Pulse assessment of cortical excitability, Autonomic activity
Clinical Study IdentifierNCT05256160
SponsorUniversity of Pittsburgh
Last Modified on26 May 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

diagnosis of CVS

Exclusion Criteria

history of CVS (for healthy control population only)
psychosis or altered cognitive status
history of head injury, metal in the skull, stroke, or a history of seizures
implantable devices, such as a pacemaker or nerve stimulator
current use of the following medications or use of substances which are known to lower the seizure threshold: clozapine (Clozaril), chlorpromazine (Thorazine), amphetamines or methamphetamine, Ecstasy, Ketamine, Angel Dust/PCP, cocaine, or 3 or more alcoholic drinks per day
pregnancy
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