“…Second, although acoustic startle responses may go along with changes in cortical excitability, they would not be expected to be limited to specific latencies coinciding with visual input given that they would likely generalize to other cortical areas. Third, a previous TMS study of tactile influences on TMS-induced phosphene perception showed that the likelihood of perceiving a visual phosphene (induced by subthreshold TMS) is greatest when the tactile pulse precedes occipital TMS by 60ms (Ramos-Estebanez et al, 2007), matching the peak-latency of increased visual cortex excitability we observed. Notably, their use of subthreshold tactile stimulation, which did not reach perceptual awareness, excluded startle responses as a basis for increased cortical excitability (namely, enhanced phosphene perception).…”