Related Experiment Video
Updated: May 18, 2026

Assessing Primary Motor Cortex Excitability and Excitability Modulation by Pairing Transcranial Magnetic Stimulation with Electromyography
Published on: October 7, 2025
[Recommendations for the clinical use of motor evoked potentials in multiple sclerosis]
V Fernández1, J Valls-Sole, J L Relova
1Red Española de Esclerosis Múltiple (REEM), España; Instituto Neurociencias Clínicas, Servicio de Neurofisiología Clínica, Hospital Regional Universitario Carlos Haya, Málaga, España.
Objective:
To establish clinical guidelines for the clinical use and interpretation of motor evoked potentials (MEP) in diagnosing and monitoring patients with multiple sclerosis (MS). Recommendations for MEP use and interpretation will help us rationalise and optimise resources used in MS patient diagnosis and follow up.
Method:
We completed an extensive literature review and pooled our own data to produce a consensus statement with recommendations for the clinical use of MEPs in the study of MS.
Results:
MEPs, in addition to spinal and cranial magnetic resonance imaging (MRI), help us diagnose and assess MS patients whose disease initially presents as spinal cord syndrome and those with non-specific brain MRI findings, or a normal brain MRI and clinical signs of MS.
Conclusions:
Whenever possible, a multimodal evoked potential study should be performed on patients with suspected MS in order to demonstrate involvement of the motor pathway which supports a diagnosis of dissemination in space.
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