Neurometabolite changes in patients with complex regional pain syndrome using magnetic resonance spectroscopy
| Autor: | Do Hyung Kang, So Yeon Jeon, Hyeon-Jin Kim, Ye Ha Jung, Jeong Min Kwon, Jee Youn Moon, Won Joon Lee, Dasom Lee, Jun-Young Lee, Yong Chul Kim |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Excitatory Amino Acids Proton Magnetic Resonance Spectroscopy Pilot Projects Creatine Phosphocreatine 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine medicine Humans business.industry General Neuroscience T-cell receptor Brain Middle Aged medicine.disease Pathophysiology Glutamine 030104 developmental biology Endocrinology Complex regional pain syndrome nervous system chemistry McGill Pain Questionnaire Female business Insula Complex Regional Pain Syndromes 030217 neurology & neurosurgery |
| Zdroj: | NeuroReport. 30:108-112 |
| ISSN: | 0959-4965 |
| DOI: | 10.1097/wnr.0000000000001168 |
| Popis: | The aim of this study was to investigate distinct neurometabolites in the right and left thalamus and insula of patients with complex regional pain syndrome (CRPS) compared with healthy controls using proton magnetic resonance spectroscopy. Levels of N-acetylaspartate (NAA), N-acetylaspartylglutamate (NAAG), myo-inositol (ml), glutamine (Gln), glycerophosphocholine (GPC), glutathione (GSH), and alanine (Ala) relative to total creatine (tCr) levels, including creatine and phosphocreatine, were determined in the right and left thalamus and insula in 12 patients with CRPS compared with 11 healthy controls using magnetic resonance spectroscopy. Levels of NAAG/tCr and Ala/tCr were higher in patients with CRPS than in controls in the left thalamus. NAAG/tCr, ml/tCr, and Gln/tCr levels were higher but NAA/tCr levels were lower in the right insula of patients with CRPS compared with controls. There were negative correlations between GSH/tCr and pain score (McGill Pain Questionnaire) in the left thalamus. These findings are paramount to understand and determine all aspects of the complex pathophysiological mechanisms that underlie CRPS, including involvement of the central and parasympathetic nervous systems as well as oxidative stress and antioxidants. Thus, the distinct metabolites presented herein may be essential to understand a strong diagnostic and prognostic potential for CRPS and to develop effective medical treatments. |
| Databáze: | OpenAIRE |
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