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The impact of the motor system neurodegenerative syndrome amyotrophic lateral sclerosis (ALS) on the neuronal oscillations subserving movement might therefore serve as a sensitive marker of disease activity. Movement preparation and execution are consistently associated with modulations to neuronal oscillation beta (15\u201330 Hz) power. Cortical beta\u2010band oscillations were measured using magnetoencephalography (MEG) during preparation for, execution, and completion of a visually cued, lateralized motor task that included movement inhibition trials. Eleven \u201cclassical\u201d ALS patients, 9 with the primary lateral sclerosis (PLS) phenotype, and 12 asymptomatic carriers of ALS\u2010associated gene mutations were compared with age\u2010similar healthy control groups. Augmented beta desynchronization was observed in both contra\u2010 and ipsilateral motor cortices of ALS patients during motor preparation. Movement execution coincided with excess beta desynchronization in asymptomatic mutation carriers. Movement completion was followed by a slowed rebound of beta power in all symptomatic patients, further reflected in delayed hemispheric lateralization for beta rebound in the PLS group. This may correspond to the particular involvement of interhemispheric fibers of the corpus callosum previously demonstrated in diffusion tensor imaging studies. We conclude that the ALS spectrum is characterized by intensified cortical beta desynchronization followed by delayed rebound, concordant with a broader concept of cortical hyperexcitability, possibly through loss of inhibitory interneuronal influences. MEG may potentially detect cortical dysfunction prior to the development of overt symptoms, and thus be able to contribute to the assessment of future neuroprotective strategies. <jats:italic>Hum Brain Mapp 38:237\u2013254, 2017<\/jats:italic>. \u00a9 <jats:bold>2016 Wiley Periodicals, Inc.<\/jats:bold><\/jats:p>","DOI":"10.1002\/hbm.23357","type":"journal-article","created":{"date-parts":[[2016,9,13]],"date-time":"2016-09-13T13:47:49Z","timestamp":1473774469000},"page":"237-254","source":"Crossref","is-referenced-by-count":87,"title":["Altered cortical beta\u2010band oscillations reflect motor system degeneration in amyotrophic lateral sclerosis"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0774-4366","authenticated-orcid":false,"given":"Malcolm","family":"Proudfoot","sequence":"first","affiliation":[{"name":"Nuffield Department of Clinical Neurosciences University of Oxford  United Kingdom"},{"name":"Oxford Centre for Human Brain Activity, 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