Apomorphine effect on pain threshold in Parkinson's disease: a clinical and positron emission tomography study.
Identifieur interne : 001472 ( PubMed/Checkpoint ); précédent : 001471; suivant : 001473Apomorphine effect on pain threshold in Parkinson's disease: a clinical and positron emission tomography study.
Auteurs : Estelle Dellapina [France] ; Angélique Gerdelat-Mas ; Fabienne Ory-Magne ; Laure Pourcel ; Monique Galitzky ; Fabienne Calvas ; Marion Simonetta-Moreau ; Claire Thalamas ; Pierre Payoux ; Christine Brefel-CourbonSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Apomorphine (pharmacology), Apomorphine (therapeutic use), Cerebral Cortex (radionuclide imaging), Double-Blind Method, Female, Humans, Male, Middle Aged, Neuralgia (diagnosis), Neuralgia (etiology), Oxygen Isotopes (diagnostic use), Pain Threshold (drug effects), Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (pathology), Parkinson Disease (radionuclide imaging), Positron-Emission Tomography (methods).
- MESH :
- chemical , diagnostic use : Oxygen Isotopes.
- chemical , pharmacology : Antiparkinson Agents, Apomorphine.
- chemical , therapeutic use : Antiparkinson Agents, Apomorphine.
- complications : Parkinson Disease.
- diagnosis : Neuralgia.
- drug effects : Pain Threshold.
- drug therapy : Parkinson Disease.
- etiology : Neuralgia.
- methods : Positron-Emission Tomography.
- pathology : Parkinson Disease.
- radionuclide imaging : Cerebral Cortex, Parkinson Disease.
- Aged, Double-Blind Method, Female, Humans, Male, Middle Aged.
Abstract
Patients with Parkinson's disease (PD) frequently experience pain that could be in part due to central modification of nociception. In this randomized controlled double blind study, we compared the effect of apomorphine versus placebo on pain thresholds and pain-induced cerebral activity in 25 patients with PD. Subjective pain threshold (using thermal stimulation, thermotest), objective pain threshold (nociceptive flexion reflex), and cerebral activity (H(2)(15)O PET) during noxious and innocuous stimulations were performed. Neither subjective nor objective pain thresholds nor pain activation profile were modified by apomorphine compared with placebo in 25 PD patients. Apomorphine has no effect on pain processing in PD. We suggest that other monoamine systems than dopaminergic system could be involved.
DOI: 10.1002/mds.23406
PubMed: 20960436
Affiliations:
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pubmed:20960436Le document en format XML
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<front><div type="abstract" xml:lang="en">Patients with Parkinson's disease (PD) frequently experience pain that could be in part due to central modification of nociception. In this randomized controlled double blind study, we compared the effect of apomorphine versus placebo on pain thresholds and pain-induced cerebral activity in 25 patients with PD. Subjective pain threshold (using thermal stimulation, thermotest), objective pain threshold (nociceptive flexion reflex), and cerebral activity (H(2)(15)O PET) during noxious and innocuous stimulations were performed. Neither subjective nor objective pain thresholds nor pain activation profile were modified by apomorphine compared with placebo in 25 PD patients. Apomorphine has no effect on pain processing in PD. We suggest that other monoamine systems than dopaminergic system could be involved.</div>
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