Nociceptive brain activation in patients with neuropathic pain related to Parkinson's disease.
Identifieur interne : 000739 ( PubMed/Corpus ); précédent : 000738; suivant : 000740Nociceptive brain activation in patients with neuropathic pain related to Parkinson's disease.
Auteurs : Christine Brefel-Courbon ; Fabienne Ory-Magne ; Claire Thalamas ; Pierre Payoux ; Olivier RascolSource :
- Parkinsonism & related disorders [ 1873-5126 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Neuralgia, Parkinson Disease.
- epidemiology : Neuralgia, Parkinson Disease.
- metabolism : Brain.
- methods : Pain Measurement.
- physiology : Pain Threshold.
- physiopathology : Neuralgia, Parkinson Disease.
- Aged, Female, Humans, Male, Middle Aged.
Abstract
Patients suffering from Parkinson's disease (PD) frequently experience painful sensations that may be due to central modification of nociception in PD. We compared pain thresholds and cerebral activity in nociceptive areas using Positron Emission Tomography (PET) during nociceptive stimulation before (OFF condition) and after (ON condition) levodopa challenge between nine PD patients with and nine PD patients without neuropathic pain.
DOI: 10.1016/j.parkreldis.2013.02.003
PubMed: 23462484
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pubmed:23462484Le document en format XML
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<author><name sortKey="Brefel Courbon, Christine" sort="Brefel Courbon, Christine" uniqKey="Brefel Courbon C" first="Christine" last="Brefel-Courbon">Christine Brefel-Courbon</name>
<affiliation><nlm:affiliation>Inserm, Imagerie cérébrale et handicaps neurologiques, UMR 825, F-31059 Toulouse, France - Université de Toulouse, UPS, Imagerie cérébrale et handicaps neurologiques, F-31059 Toulouse, France. christine.brefel-courbon@univ-tlse3.fr</nlm:affiliation>
</affiliation>
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<author><name sortKey="Ory Magne, Fabienne" sort="Ory Magne, Fabienne" uniqKey="Ory Magne F" first="Fabienne" last="Ory-Magne">Fabienne Ory-Magne</name>
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<author><name sortKey="Thalamas, Claire" sort="Thalamas, Claire" uniqKey="Thalamas C" first="Claire" last="Thalamas">Claire Thalamas</name>
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<author><name sortKey="Payoux, Pierre" sort="Payoux, Pierre" uniqKey="Payoux P" first="Pierre" last="Payoux">Pierre Payoux</name>
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<author><name sortKey="Rascol, Olivier" sort="Rascol, Olivier" uniqKey="Rascol O" first="Olivier" last="Rascol">Olivier Rascol</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Nociceptive brain activation in patients with neuropathic pain related to Parkinson's disease.</title>
<author><name sortKey="Brefel Courbon, Christine" sort="Brefel Courbon, Christine" uniqKey="Brefel Courbon C" first="Christine" last="Brefel-Courbon">Christine Brefel-Courbon</name>
<affiliation><nlm:affiliation>Inserm, Imagerie cérébrale et handicaps neurologiques, UMR 825, F-31059 Toulouse, France - Université de Toulouse, UPS, Imagerie cérébrale et handicaps neurologiques, F-31059 Toulouse, France. christine.brefel-courbon@univ-tlse3.fr</nlm:affiliation>
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<author><name sortKey="Ory Magne, Fabienne" sort="Ory Magne, Fabienne" uniqKey="Ory Magne F" first="Fabienne" last="Ory-Magne">Fabienne Ory-Magne</name>
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<author><name sortKey="Thalamas, Claire" sort="Thalamas, Claire" uniqKey="Thalamas C" first="Claire" last="Thalamas">Claire Thalamas</name>
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<author><name sortKey="Payoux, Pierre" sort="Payoux, Pierre" uniqKey="Payoux P" first="Pierre" last="Payoux">Pierre Payoux</name>
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<author><name sortKey="Rascol, Olivier" sort="Rascol, Olivier" uniqKey="Rascol O" first="Olivier" last="Rascol">Olivier Rascol</name>
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<series><title level="j">Parkinsonism & related disorders</title>
<idno type="eISSN">1873-5126</idno>
<imprint><date when="2013" type="published">2013</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Brain (metabolism)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuralgia (diagnosis)</term>
<term>Neuralgia (epidemiology)</term>
<term>Neuralgia (physiopathology)</term>
<term>Pain Measurement (methods)</term>
<term>Pain Threshold (physiology)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Neuralgia</term>
<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Measurement</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Pain Threshold</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Neuralgia</term>
<term>Parkinson Disease</term>
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<front><div type="abstract" xml:lang="en">Patients suffering from Parkinson's disease (PD) frequently experience painful sensations that may be due to central modification of nociception in PD. We compared pain thresholds and cerebral activity in nociceptive areas using Positron Emission Tomography (PET) during nociceptive stimulation before (OFF condition) and after (ON condition) levodopa challenge between nine PD patients with and nine PD patients without neuropathic pain.</div>
</front>
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<DateCreated><Year>2013</Year>
<Month>03</Month>
<Day>25</Day>
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<DateCompleted><Year>2013</Year>
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<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>5</Issue>
<PubDate><Year>2013</Year>
<Month>May</Month>
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<Title>Parkinsonism & related disorders</Title>
<ISOAbbreviation>Parkinsonism Relat. Disord.</ISOAbbreviation>
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<ArticleTitle>Nociceptive brain activation in patients with neuropathic pain related to Parkinson's disease.</ArticleTitle>
<Pagination><MedlinePgn>548-52</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.parkreldis.2013.02.003</ELocationID>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients suffering from Parkinson's disease (PD) frequently experience painful sensations that may be due to central modification of nociception in PD. We compared pain thresholds and cerebral activity in nociceptive areas using Positron Emission Tomography (PET) during nociceptive stimulation before (OFF condition) and after (ON condition) levodopa challenge between nine PD patients with and nine PD patients without neuropathic pain.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Pain thresholds were determined using a cold pressor test in the two conditions. We used H2(15)O PET to study the regional cerebral blood flow changes in subjects while they received alternate randomized noxious and innocuous cold stimuli during OFF and ON periods.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Pain thresholds were not significantly different between PD patients with and without pain in either condition (OFF and ON). In both groups of PD patients, levodopa significantly raised pain threshold (F1,16 = 26.71; p < 0.0001) with a mean variation of -2.7 (±2.3 °C). In the OFF condition, PD patients with pain had a lower pain activation in the right prefrontal cortex and posterior insula and a higher pain activation in the right anterior cingulate cortex (BA32/8) than pain-free patients. Levodopa significantly reduced pain-induced-activation in the right insula and in the anterior cingulate cortex in both groups.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Levodopa decreased nociceptive perception in both PD patients with and without pain. In PD patients with neuropathic pain the medial affective pathway was preferentially recruited whereas pain-free PD patients exhibited a greater activation in lateral discriminative nociceptive areas.</AbstractText>
<CopyrightInformation>Copyright © 2013 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brefel-Courbon</LastName>
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<AffiliationInfo><Affiliation>Inserm, Imagerie cérébrale et handicaps neurologiques, UMR 825, F-31059 Toulouse, France - Université de Toulouse, UPS, Imagerie cérébrale et handicaps neurologiques, F-31059 Toulouse, France. christine.brefel-courbon@univ-tlse3.fr</Affiliation>
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