The present study was performed in order to determine the influence of
ipsilateral transcranial magnetic stimulations (TMS) on the silent pe
riod evoked by contralateral cortical stimulations. Ipsilateral TMS pr
eceded the contralateral magnetic or electrical cortex stimulation by
0-50 ms. In all subjects, the duration of the silent period was decrea
sed in interstimulus intervals of 20-30 ms when using magnetic ipsi- a
nd contralateral stimuli. No change in the silent period was seen with
ipsilateral magnetic and contralateral electrical stimulations. Decre
ases of motor evoked potential amplitudes were an inconsistant phenome
non. The results indicate that ipsilateral TMS in activate inhibitory
cortical interneurons, probably via transcallosal pathways. Different
time courses and different degrees of inhibition indicate that motor e
xcitation and inhibition may be mediated by different neuronal circuit
s.