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New preprint out, where we show that TMS-induced pupil dilations can be used as a measurable proxy of cortical excitability. With: @frasermacrae.bsky.social @freekvanede.bsky.social @daspainbrain.bsky.social @drsmschabrun.bsky.social et al. Details below 🧵 [1/n]

bioRxiv Neuroscience@biorxiv-neursci.bsky.social

Transcranial magnetic stimulation induced pupil dilations can serve as a cortical excitability measure https://www.biorxiv.org/content/10.1101/2025.08.02.668303v1

Speculations about the nexus between pupil size and cortical excitability have existed for a while, but evidence for this link is scarce and mainly indirect. We wanted to test it out, by measuring TMS-induced pupil dilations at different TMS intensities and before vs after tDCS inhibition. [2/n]

In three experiments (total n = 59) we found consistent TMS-induced pupil dilations, that peaked approx. 1 s after TMS. We showed this consistent effect in two different isoluminant conditions (300 & 400 lux) and with two different eye-trackers (eyelink & tobii). [3/n]

Further, following inhibitory tDCS, we found a decrease in the TMS-induced pupil dilation peaks as compared to baseline, reflecting the anticipated cortical excitability decrease. [5/n]

Our sham controls show that pupil responses are not due to auditory artefacts. Additional alternatives were also ruled out. No pupil lateralisation effects were found (i.e., no spill-over iris muscle TMS), and no pupil size differences were found between high vs low MEP activity per intensity. [6/n]

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Introducing a new proxy of cortical excitability paves the way for wider use of TMS. Objective measures can be taken outside of M1, and TMS applications can now include individuals who are MEP-negative. [7/end]