Dynamic oscillatory signatures of central neuropathic pain in spinal cord injury

Vuckovic, A., Hasan, M. A., Fraser, M., Conway, B. A., Nasseroleslami, B. and Allan, D. B. (2014) Dynamic oscillatory signatures of central neuropathic pain in spinal cord injury. Journal of Pain, 15(6), pp. 645-655. (doi: 10.1016/j.jpain.2014.02.005)

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Publisher's URL: http://dx.doi.org/10.1016/j.jpain.2014.02.005

Abstract

Central Neuropathic Pain (CNP) is believed to be accompanied by increased activation of the sensory and motor cortices. Our knowledge on this interaction is based mainly on fMRI studies, but there is little direct evidence on how these changes manifest in terms of dynamic neuronal activity. This study reports on the presence of transient EEG based measures of brain activity during motor imagery in spinal cord injured patients with CNP. We analyse dynamic EEG responses during imaginary movements of arms and legs in 3 groups of 10 volunteers each, comprising able-bodied people, paraplegic patients with CNP (lower abdomen and legs) and paraplegic patients without CNP. Paraplegic patients with CNP had increased event-related desynchronisation in the theta, alpha and beta bands (16-24 Hz) during imagination of movement of both non-painful (arms) and painful limbs (legs). Compared to patients with CNP, paraplegics with no pain showed a much reduced power in relaxed state and reduced event-related desynchronisation during imagination of movement. Understanding these complex dynamic, frequency-specific activations in CNP in the absence of nociceptive stimuli could inform the design of interventional therapies for patients suffering from CNP and possibly further understanding of the mechanisms involved.<p></p> Perspective: This study compares the EEG activity of spinal cord injured patients with central neuropathic pain, to that of spinal cord injured patients with no pain and also of able-bodied people. The study shows that the presence of central neuropathic pain itself leads to frequency-specific EEG signatures that could be used to monitor CNP and inform neuromodulatory treatments of this type of pain.<p></p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Allan, Mr David and Hasan, Mr Muhammad and Conway, Prof Bernard and Vuckovic, Dr Aleksandra
Authors: Vuckovic, A., Hasan, M. A., Fraser, M., Conway, B. A., Nasseroleslami, B., and Allan, D. B.
College/School:College of Science and Engineering > School of Engineering > Biomedical Engineering
College of Science and Engineering > School of Engineering > Electronics and Nanoscale Engineering
Journal Name:Journal of Pain
Publisher:Elsevier
ISSN:1526-5900
ISSN (Online):1528-8447
Copyright Holders:Copyright © 2014 American Pain Society
First Published:First published in Journal of Pain 15(6):645-655
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher
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