Differential brain activation associated with laser-evoked burning and pricking pain: An event-related fMRI study
An important question remains as to how the brain differentially processes first (pricking) pain mediated by Aδ-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event...
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| Published in | Pain (Amsterdam) Vol. 141; no. 1-2; pp. 104 - 113 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Philadelphia, PA
Elsevier B.V
01.01.2009
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0304-3959 1872-6623 1872-6623 |
| DOI | 10.1016/j.pain.2008.10.027 |
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| Abstract | An important question remains as to how the brain differentially processes first (pricking) pain mediated by Aδ-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60ms pulse duration) and burning (2.0s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain, including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Aδ-and C-nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Aδ-fiber signals versus C-fiber signals for these specific brain regions. |
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| AbstractList | An important question remains as to how the brain differentially processes first (pricking) pain mediated by Adelta-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60ms pulse duration) and burning (2.0s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain, including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Adelta-and C-nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Adelta-fiber signals versus C-fiber signals for these specific brain regions.An important question remains as to how the brain differentially processes first (pricking) pain mediated by Adelta-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60ms pulse duration) and burning (2.0s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain, including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Adelta-and C-nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Adelta-fiber signals versus C-fiber signals for these specific brain regions. An important question remains as to how the brain differentially processes first (pricking) pain mediated by Adelta-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60ms pulse duration) and burning (2.0s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain, including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Adelta-and C-nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Adelta-fiber signals versus C-fiber signals for these specific brain regions. An important question remains as to how the brain differentially processes first (pricking) pain mediated by Aδ-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60ms pulse duration) and burning (2.0s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain, including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Aδ-and C-nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Aδ-fiber signals versus C-fiber signals for these specific brain regions. An important question remains as to how the brain differentially processes first (pricking) pain mediated by Aδ-nociceptors versus second (burning) pain mediated by C-nociceptors. In the present cross-over randomized, within-subjects controlled study, brain activity patterns were examined with event-related fMRI while pricking and burning pain were selectively evoked using a diode laser. Stimuli evoking equivalent pain intensities were delivered to the dorsum of the left foot. Different laser parameters were used to elicit pricking (60 ms pulse duration) and burning (2.0 s pulse duration) pain. Whole brain group analysis showed that several brain areas were commonly activated by pricking and burning pain including bilateral thalamus, bilateral anterior insula, bilateral posterior parietal lobule, contralateral dorsolateral prefrontal cortex, ipsilateral cerebellum, and mid anterior cingulate cortex. These findings show that pricking and burning pain were associated with activity in many of the same nociceptive processing brain regions. This may be expected given that Aδ and C nociceptive signals converge to a great extent at the level of the dorsal horn. Other brain regions showed differential processing. Stronger activation in the pricking pain condition was found in the ipsilateral hippocampus, bilateral parahippocampal gyrus, bilateral fusiform gyrus, contralateral cerebellum and contralateral cuneus/parieto-occipital sulcus. Stronger activation in the burning pain condition was found in the ipsilateral dorsolateral prefrontal cortex. These differential activation patterns suggest preferential importance of Aδ versus C-fiber signals for these specific brain regions. |
| Author | Nemenov, Michael I. Keaser, Michael Greenspan, Joel D. Veldhuijzen, Dieuwke S. Zhuo, Jiachen Gullapalli, Rao P. |
| AuthorAffiliation | 3 Research Center for Neuroendocrine Influences on Pain, University of Maryland, Baltimore, MD 1 Department of Biomedical Sciences, Dental School, University of Maryland, Baltimore, MD 4 Department of Anesthesia, Stanford University, Palo Alto, CA 6 Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, MD 5 Lasmed LLC, Mountain View, CA 7 Division of Perioperative Care and Emergency Medicine, University Medical Center Utrecht, Utrecht, Netherlands 2 Program in Neuroscience, University of Maryland, Baltimore, MD |
| AuthorAffiliation_xml | – name: 3 Research Center for Neuroendocrine Influences on Pain, University of Maryland, Baltimore, MD – name: 4 Department of Anesthesia, Stanford University, Palo Alto, CA – name: 7 Division of Perioperative Care and Emergency Medicine, University Medical Center Utrecht, Utrecht, Netherlands – name: 5 Lasmed LLC, Mountain View, CA – name: 6 Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, MD – name: 1 Department of Biomedical Sciences, Dental School, University of Maryland, Baltimore, MD – name: 2 Program in Neuroscience, University of Maryland, Baltimore, MD |
| Author_xml | – sequence: 1 givenname: Dieuwke S. surname: Veldhuijzen fullname: Veldhuijzen, Dieuwke S. email: D.S.Veldhuijzen@umcutrecht.nl organization: Department of Biomedical Sciences, Dental School, University of Maryland, Baltimore, MD, USA – sequence: 2 givenname: Michael I. surname: Nemenov fullname: Nemenov, Michael I. organization: Department of Anesthesia, Stanford University, Palo Alto, CA, USA – sequence: 3 givenname: Michael surname: Keaser fullname: Keaser, Michael organization: Department of Biomedical Sciences, Dental School, University of Maryland, Baltimore, MD, USA – sequence: 4 givenname: Jiachen surname: Zhuo fullname: Zhuo, Jiachen organization: Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, MD, USA – sequence: 5 givenname: Rao P. surname: Gullapalli fullname: Gullapalli, Rao P. organization: Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, MD, USA – sequence: 6 givenname: Joel D. surname: Greenspan fullname: Greenspan, Joel D. organization: Department of Biomedical Sciences, Dental School, University of Maryland, Baltimore, MD, USA |
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| Keywords | Event-related fMRI Burning pain Pricking pain Diode laser Spinal cord Central nervous system Posterior spinal horn Nuclear magnetic resonance imaging Encephalon Foot Nociceptor Pain Cingulate cortex Parietal cortex Thalamus |
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| Snippet | An important question remains as to how the brain differentially processes first (pricking) pain mediated by Aδ-nociceptors versus second (burning) pain... An important question remains as to how the brain differentially processes first (pricking) pain mediated by Adelta-nociceptors versus second (burning) pain... |
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| SubjectTerms | Adult Biological and medical sciences Brain - blood supply Brain - physiopathology Brain Mapping Burning pain Diode laser Event-related fMRI Female Functional Laterality Fundamental and applied biological sciences. Psychology Humans Illness and personality Illness, stress and coping Image Processing, Computer-Assisted - methods Lasers - adverse effects Magnetic Resonance Imaging Male Middle Aged Oxygen - blood Pain - etiology Pain - pathology Pain - physiopathology Pain Measurement - methods Pricking pain Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychophysics Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors Time Factors Vertebrates: nervous system and sense organs Young Adult |
| Title | Differential brain activation associated with laser-evoked burning and pricking pain: An event-related fMRI study |
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