Alterations of Contralateral Thalamic Perfusion in Neuropathic Pain
| Autor: | Carlos Binti, Shinichirou Taniguchi, Masahiko Ikeuchi, Mitsutaka Fukumoto, Toshikazu Tani, Tatsunori Ikemoto, Makoto Nishihara, Takahiro Ushida |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Spinothalamic tract
Referred pain medicine.diagnostic_test business.industry Thalamus Brain imaging pain Single-photon emission computed tomography regional cerebral blood flow medicine.disease Article reflex sympathetic dystrophy Complex regional pain syndrome medicine.anatomical_structure Cerebral blood flow Anesthesia Neuropathic pain medicine Radiology Nuclear Medicine and imaging Neurology (clinical) business Perfusion |
| Zdroj: | The Open Neuroimaging Journal |
| ISSN: | 1874-4400 |
| Popis: | Contralateral thalamus, the place of termination of spinothalamic tract, is affected in patients with pain. We employed single photon emission computed tomography (SPECT) to evaluate the thalamic perfusion in patients with spontaneous neuropathic pain. Ten patients with complex regional pain syndrome (CRPS) and eleven radiculopathiy patients were enrolled in this study. Regional cerebral blood flow of thalamus was assessed bilaterally by iodine-123-labelled iodoamphetamine SPECT. To standardize the inter-patient data, we set a contralateral thalamic uptake index (CTUI) for assessing thalamic asymmetry. In one study, we found elevation of CTUI in patients with symptoms of neuropathic pain for less than 12 month, whereas no change was observed in the case of a longer lasting disease. An another study demonstrated decrease of CTUI after pain treatment, even though it was unrelated to the pain intensity prior to treatment. Our SPECT study revealed that neuropathic pain altered thalamic neuronal activity. CTUIs were increased in early stage of the disease but decreased as the disease progressed to the chronic stage. These results suggest that CTUI can be used to improve management of neuropathic pain for proper evaluation of spontaneous pain. |
| Databáze: | OpenAIRE |
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