Cerebral magnetic responses to stimulation of tibial and sural nerves

We report somatosensory evoked magnetic fields (SEFs) to stimulation of the mixed posterior tibial nerve (PTN) and the sensory sural nerve (SN) in 6 healthy subjects. The first peak of the responses occurred at 39-50 ms (P40m), with a 2-3 ms longer latency for SN than PTN stimulation. Within 200 ms several other deflections followed, with interindividually varying waveforms and latencies. Magnetic field mappings indicated that the source of P40m for PTN can be modelled by a single equivalent current dipole at the primary sensorimotor cortex; for the smaller responses to SN stimulation the single dipole model was less applicable. Field patterns for later deflections differed from those of P40m, indicating that several current sources within or near the primary foot projection area are sequentially activated after stimulation of both a mixed and a sensory lower limb nerve. These late deflections could not always be satisfactorily explained by single current dipoles, suggesting more complex geometries for the underlying neural activity.