The human motor cortex can be excited by both electromagnetic and percutaneous electrical stimulation. The latencies of EMG responses in arm muscles are 1P4-2-7 ms longer with electromagnetic stimulation. The reason for this difference remains unclear; it has been proposed that electromagnetic stimulation indirectly excites corticospinal neurones, whilst electrical stimulation activates them directly (Day et al. 1987; see also Amassian et al. 1987). We have examined the corticospinal volleys excited by electromagnetic stimulation in the macaque monkey.In the first experiment, a monkey was anaesthetized with alfentanil (150 mg/kg per h) combined with midazolan (1 mg/kg per h, i.v.). Tungsten electrodes were placed in the hand area of the left motor cortex and in the left medullary pyramid.The cervical (C7) and thoracic (T9) spinal segments were exposed by laminectomy and electrodes placed on the right dorsolateral funiculus (DLF). After surgery the monkey was paralysed with Flaxedil (20 mg/h) and ventilated. The anaesthetic iinfusion was maintained at the same rate and the level of anaesthesia assessed from heart rate and blood pressure. The left motor cortex was activated with a Novametrix MagStim 200 stimulator with the coil tangential to the scalp. The latencies of the evoked volley were as follows: left pyramid at 0 7 ms; right DLF at C7, 1-4 ms and right DLF at T9, 2-6 ms. The corticospinal origin of this volley was confirmed by its collision with volleys evoked from the pyramid (1 shock, 300 PsA) 0-14 ms before the electromagnetic stimulus. The latency of the antidromic volley from C7 to cortex was 1-4 ms. No significant indirect responses (I-waves) were seen after electromagnetic stimulation.The second experiment was conducted on a conscious monkey which had previously had tungsten electrodes implanted in the left pyramidal tract under full Halothane anaesthesia (Lemon et al. 1986). While the monkey performed a precision grip task with the right hand, electromagnetic stimuli were delivered to the cortex with the coil held tangentially above the head. A volley was evoked in the pyramid at 0-8 ms. Clear responses were observed in the EMG of forearm muscles (latencies 7-0-775 ms) and of intrinsic hand muscles (10-0-10-4 ms). The latencies of EMG responses following single shock (200 ,sA) stimulation of the pyramid were 6-5 and 9-5 ms in forearm and hand, respectively.We conclude that in these experiments tangential electromagnetic stimulation of the cortex activated corticospinal neurones directly.