Patients with persistent pain after breast cancer surgery show both delayed and enhanced cortical stimulus processing
Identifieur interne : 004042 ( Main/Exploration ); précédent : 004041; suivant : 004043Patients with persistent pain after breast cancer surgery show both delayed and enhanced cortical stimulus processing
Auteurs : Emanuel N. Van Den Broeke [Pays-Bas] ; Marjan De Vries [Pays-Bas] ; Harry Van Goor [Pays-Bas] ; Kris Cp Vissers [Pays-Bas] ; Clementina M. Van Rijn [Pays-Bas] ; Oliver Hg Wilder-Smith [Pays-Bas]Source :
- Journal of Pain Research [ 1178-7090 ] ; 2012.
Abstract
Women who undergo breast cancer surgery have a high risk of developing persistent pain. We investigated brain processing of painful stimuli using electroencephalograms (EEG) to identify event-related potentials (ERPs) in patients with persistent pain after breast cancer treatment.
Nineteen patients (eight women with persistent pain, eleven without persistent pain), who were surgically treated more than 1 year previously for breast cancer (mastectomy, lumpectomy, and axillary lymph node dissection) and/or had chemoradiotherapy, were recruited and compared with eleven healthy female volunteers. A block of 20 painful electrical stimuli was applied to the calf, somatopically remote from the initially injured or painful area. Simultaneously an EEG was recorded, and a visual analog scale (VAS) pain rating obtained.
In comparison with healthy volunteers, breast cancer treatment without persistent pain is associated with accelerated stimulus processing (reduced P260 latency) and shows a tendency to be less intense (lower P260 amplitude). In comparison to patients without persistent pain, persistent pain after breast cancer treatment is associated with stimulus processing that is both delayed (ie, increased latency of the ERP positivity between 250–310 ms [P260]), and enhanced (ie, enhanced P260 amplitude).
These results show that treatment and persistent pain have opposite effects on cortical responsiveness.
Url:
DOI: 10.2147/JPR.S30487
PubMed: 22792001
PubMed Central: 3392843
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Patients with persistent pain after breast cancer surgery show both delayed and enhanced cortical stimulus processing</title><author><name sortKey="Van Den Broeke, Emanuel N" sort="Van Den Broeke, Emanuel N" uniqKey="Van Den Broeke E" first="Emanuel N" last="Van Den Broeke">Emanuel N. Van Den Broeke</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="De Vries, Marjan" sort="De Vries, Marjan" uniqKey="De Vries M" first="Marjan" last="De Vries">Marjan De Vries</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Goor, Harry" sort="Van Goor, Harry" uniqKey="Van Goor H" first="Harry" last="Van Goor">Harry Van Goor</name><affiliation wicri:level="1"><nlm:aff id="af3-jpr-5-139">Department of Surgery, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Radboud University Nijmegen Medical Centre, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Vissers, Kris Cp" sort="Vissers, Kris Cp" uniqKey="Vissers K" first="Kris Cp" last="Vissers">Kris Cp Vissers</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Rijn, Clementina M" sort="Van Rijn, Clementina M" uniqKey="Van Rijn C" first="Clementina M" last="Van Rijn">Clementina M. Van Rijn</name><affiliation wicri:level="1"><nlm:aff id="af2-jpr-5-139">Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Wilder Smith, Oliver Hg" sort="Wilder Smith, Oliver Hg" uniqKey="Wilder Smith O" first="Oliver Hg" last="Wilder-Smith">Oliver Hg Wilder-Smith</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22792001</idno><idno type="pmc">3392843</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392843</idno><idno type="RBID">PMC:3392843</idno><idno type="doi">10.2147/JPR.S30487</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004109</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004109</idno><idno type="wicri:Area/Pmc/Curation">004108</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004108</idno><idno type="wicri:Area/Pmc/Checkpoint">002831</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002831</idno><idno type="wicri:Area/Ncbi/Merge">004F43</idno><idno type="wicri:Area/Ncbi/Curation">004F43</idno><idno type="wicri:Area/Ncbi/Checkpoint">004F43</idno><idno type="wicri:Area/Main/Merge">004056</idno><idno type="wicri:Area/Main/Curation">004042</idno><idno type="wicri:Area/Main/Exploration">004042</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Patients with persistent pain after breast cancer surgery show both delayed and enhanced cortical stimulus processing</title><author><name sortKey="Van Den Broeke, Emanuel N" sort="Van Den Broeke, Emanuel N" uniqKey="Van Den Broeke E" first="Emanuel N" last="Van Den Broeke">Emanuel N. Van Den Broeke</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="De Vries, Marjan" sort="De Vries, Marjan" uniqKey="De Vries M" first="Marjan" last="De Vries">Marjan De Vries</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Goor, Harry" sort="Van Goor, Harry" uniqKey="Van Goor H" first="Harry" last="Van Goor">Harry Van Goor</name><affiliation wicri:level="1"><nlm:aff id="af3-jpr-5-139">Department of Surgery, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Radboud University Nijmegen Medical Centre, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Vissers, Kris Cp" sort="Vissers, Kris Cp" uniqKey="Vissers K" first="Kris Cp" last="Vissers">Kris Cp Vissers</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Rijn, Clementina M" sort="Van Rijn, Clementina M" uniqKey="Van Rijn C" first="Clementina M" last="Van Rijn">Clementina M. Van Rijn</name><affiliation wicri:level="1"><nlm:aff id="af2-jpr-5-139">Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Wilder Smith, Oliver Hg" sort="Wilder Smith, Oliver Hg" uniqKey="Wilder Smith O" first="Oliver Hg" last="Wilder-Smith">Oliver Hg Wilder-Smith</name><affiliation wicri:level="1"><nlm:aff id="af1-jpr-5-139">Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology, Pain and Palliative Medicine, Pain and Nociception Neuroscience Research Group, HB Nijmegen</wicri:regionArea><wicri:noRegion>HB Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Pain Research</title><idno type="eISSN">1178-7090</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Women who undergo breast cancer surgery have a high risk of developing persistent pain. We investigated brain processing of painful stimuli using electroencephalograms (EEG) to identify event-related potentials (ERPs) in patients with persistent pain after breast cancer treatment.</p></sec><sec><title>Methods</title><p>Nineteen patients (eight women with persistent pain, eleven without persistent pain), who were surgically treated more than 1 year previously for breast cancer (mastectomy, lumpectomy, and axillary lymph node dissection) and/or had chemoradiotherapy, were recruited and compared with eleven healthy female volunteers. A block of 20 painful electrical stimuli was applied to the calf, somatopically remote from the initially injured or painful area. Simultaneously an EEG was recorded, and a visual analog scale (VAS) pain rating obtained.</p></sec><sec><title>Results</title><p>In comparison with healthy volunteers, breast cancer treatment without persistent pain is associated with accelerated stimulus processing (reduced P260 latency) and shows a tendency to be less intense (lower P260 amplitude). In comparison to patients without persistent pain, persistent pain after breast cancer treatment is associated with stimulus processing that is both delayed (ie, increased latency of the ERP positivity between 250–310 ms [P260]), and enhanced (ie, enhanced P260 amplitude).</p></sec><sec><title>Conclusion</title><p>These results show that treatment and persistent pain have opposite effects on cortical responsiveness.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moisset, X" uniqKey="Moisset X">X Moisset</name></author><author><name sortKey="Bouhassira, D" uniqKey="Bouhassira D">D Bouhassira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kupers, R" uniqKey="Kupers R">R Kupers</name></author><author><name sortKey="Kehlet, H" uniqKey="Kehlet H">H Kehlet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steegers, Ma" uniqKey="Steegers M">MA 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Iannetti</name></author><author><name sortKey="Plaghki, L" uniqKey="Plaghki L">L Plaghki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arendt Nielsen, L" uniqKey="Arendt Nielsen L">L Arendt-Nielsen</name></author><author><name sortKey="Bjerring, P" uniqKey="Bjerring P">P Bjerring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dowman, R" uniqKey="Dowman R">R Dowman</name></author><author><name sortKey="Darcey, T" uniqKey="Darcey T">T Darcey</name></author><author><name sortKey="Barkan, H" uniqKey="Barkan H">H Barkan</name></author><author><name sortKey="Thadani, V" uniqKey="Thadani V">V Thadani</name></author><author><name sortKey="Roberts, D" uniqKey="Roberts D">D Roberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Polich, J" uniqKey="Polich J">J Polich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Polich, J" uniqKey="Polich J">J Polich</name></author><author><name sortKey="Heine, Mrd" uniqKey="Heine M">MRD Heine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mertens, R" uniqKey="Mertens R">R Mertens</name></author><author><name sortKey="Polich, J" uniqKey="Polich J">J Polich</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Van Den Broeke, Emanuel N" sort="Van Den Broeke, Emanuel N" uniqKey="Van Den Broeke E" first="Emanuel N" last="Van Den Broeke">Emanuel N. Van Den Broeke</name></noRegion><name sortKey="De Vries, Marjan" sort="De Vries, Marjan" uniqKey="De Vries M" first="Marjan" last="De Vries">Marjan De Vries</name><name sortKey="Van Goor, Harry" sort="Van Goor, Harry" uniqKey="Van Goor H" first="Harry" last="Van Goor">Harry Van Goor</name><name sortKey="Van Rijn, Clementina M" sort="Van Rijn, Clementina M" uniqKey="Van Rijn C" first="Clementina M" last="Van Rijn">Clementina M. Van Rijn</name><name sortKey="Vissers, Kris Cp" sort="Vissers, Kris Cp" uniqKey="Vissers K" first="Kris Cp" last="Vissers">Kris Cp Vissers</name><name sortKey="Wilder Smith, Oliver Hg" sort="Wilder Smith, Oliver Hg" uniqKey="Wilder Smith O" first="Oliver Hg" last="Wilder-Smith">Oliver Hg Wilder-Smith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Patients with persistent pain after breast cancer surgery show both delayed and enhanced cortical stimulus processing
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