Laser-evoked potentials in human pain
Identifieur interne : 001F91 ( Istex/Curation ); précédent : 001F90; suivant : 001F92Laser-evoked potentials in human pain
Auteurs : Andrew C. N. Chen [Danemark] ; Lars Arendt-Nielsen [Danemark] ; Leon Plaghki [Belgique]Source :
- Pain Forum [ 1082-3174 ] ; 1998.
English descriptors
- KwdEn :
- Afferent, Afferent fibers, Analgesic, Argon laser, Bjerring, Brain potentials, Brainstem, Bromm, Central pain, Cerebral potentials, Clin, Clinical impairment, Cortical reflex myoclonus, Cutaneous, Cutaneous nociceptors, Cutaneous receptors, Dynamic spatiotemporal specificity, Dynamic topography, Electrical seps, Electrical stimulation, Electroenceph, Electroenceph clin, Electroenceph clin neurophysiol, Focus article, Human pain, Impairment, Kakigi, Laser, Laser stimulation, Laser stimuli, Late leps, Latency, Lateral, Leps, Nerve stimulation, Neural basis, Neurol, Neurol neurosurg psychiat, Neurophysiol, Nociceptive, Nociceptive activation, Nociceptive pathways, Nociceptive system, Oral mucosa, Pain experience, Pain intensity, Pain perception, Pain ratings, Pain research, Painful laser stimulation, Pathway, Physical properties, Raven press, Receptor, Sampling rate, Second pain, Sep, Shibasaki, Skin temperature, Somatosensory, Spatiotemporal, Spinal, Spinothalamic tract, Stimulation, Stimulus intensity, Stimulus parameters, Subjective pain experience, Temperature sense, Thin fibers, Treede, Ultralate, Ultralate leps, Vertex potentials, dissociation/association, dynamic spatiotemporal specificity, laser-evoked potentials, mechanisms, methodology, neuropathology, pain.
- Teeft :
- Afferent, Afferent fibers, Analgesic, Argon laser, Bjerring, Brain potentials, Brainstem, Bromm, Central pain, Cerebral potentials, Clin, Clinical impairment, Cortical reflex myoclonus, Cutaneous, Cutaneous nociceptors, Cutaneous receptors, Dynamic spatiotemporal specificity, Dynamic topography, Electrical seps, Electrical stimulation, Electroenceph, Electroenceph clin, Electroenceph clin neurophysiol, Focus article, Human pain, Impairment, Kakigi, Laser, Laser stimulation, Laser stimuli, Late leps, Latency, Lateral, Leps, Nerve stimulation, Neural basis, Neurol, Neurol neurosurg psychiat, Neurophysiol, Nociceptive, Nociceptive activation, Nociceptive pathways, Nociceptive system, Oral mucosa, Pain experience, Pain intensity, Pain perception, Pain ratings, Pain research, Painful laser stimulation, Pathway, Physical properties, Raven press, Receptor, Sampling rate, Second pain, Sep, Shibasaki, Skin temperature, Somatosensory, Spatiotemporal, Spinal, Spinothalamic tract, Stimulation, Stimulus intensity, Stimulus parameters, Subjective pain experience, Temperature sense, Thin fibers, Treede, Ultralate, Ultralate leps, Vertex potentials.
Abstract
In Part I, this Focus article describes characteristics of laser-evoked brain potentials (LEPs) in human pain and examines some of the methodological inconsistencies. Evidence both cautioning and supporting the use of LEPs is contrasted. A host of neurological mechanisms clearly illustrates the relation of LEPs and pain processing: Lasers elicit selectively the cutaneous receptors of thin afferent fibers, the anterolateral spinal tract, and the lateral tracts of the brainstem. Implication for clinical use is briefly suggested. We raise three contending issues: (1) measurement standard, (2) association and dissociation of the LEP amplitude and pain, and (3) dynamic spatiotemporal specificity of LEPs. We conclude that LEPs may reflect nociceptive processing but may not be the entire pain experience. We emphasize the proper use of LEPs in understanding the mechanisms of nociceptive activation in pain experience. To achieve this, we address the technological advance required in studying the dynamic spatiotemporal specificity of LEPs and human pain.
Url:
DOI: 10.1016/S1082-3174(98)70001-7
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<affiliation wicri:level="1"><mods:affiliation>Reprint requests: Andrew C.N. Chen, PhD, Center for Sensory-Motor Interaction, Human Brain Mapping and Cortical Imaging Laboratory, Aalborg University, Fredrik Bajers Vej 7DF-3, 9220 Aalborg, Denmark.</mods:affiliation>
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<term>Afferent fibers</term>
<term>Analgesic</term>
<term>Argon laser</term>
<term>Bjerring</term>
<term>Brain potentials</term>
<term>Brainstem</term>
<term>Bromm</term>
<term>Central pain</term>
<term>Cerebral potentials</term>
<term>Clin</term>
<term>Clinical impairment</term>
<term>Cortical reflex myoclonus</term>
<term>Cutaneous</term>
<term>Cutaneous nociceptors</term>
<term>Cutaneous receptors</term>
<term>Dynamic spatiotemporal specificity</term>
<term>Dynamic topography</term>
<term>Electrical seps</term>
<term>Electrical stimulation</term>
<term>Electroenceph</term>
<term>Electroenceph clin</term>
<term>Electroenceph clin neurophysiol</term>
<term>Focus article</term>
<term>Human pain</term>
<term>Impairment</term>
<term>Kakigi</term>
<term>Laser</term>
<term>Laser stimulation</term>
<term>Laser stimuli</term>
<term>Late leps</term>
<term>Latency</term>
<term>Lateral</term>
<term>Leps</term>
<term>Nerve stimulation</term>
<term>Neural basis</term>
<term>Neurol</term>
<term>Neurol neurosurg psychiat</term>
<term>Neurophysiol</term>
<term>Nociceptive</term>
<term>Nociceptive activation</term>
<term>Nociceptive pathways</term>
<term>Nociceptive system</term>
<term>Oral mucosa</term>
<term>Pain experience</term>
<term>Pain intensity</term>
<term>Pain perception</term>
<term>Pain ratings</term>
<term>Pain research</term>
<term>Painful laser stimulation</term>
<term>Pathway</term>
<term>Physical properties</term>
<term>Raven press</term>
<term>Receptor</term>
<term>Sampling rate</term>
<term>Second pain</term>
<term>Sep</term>
<term>Shibasaki</term>
<term>Skin temperature</term>
<term>Somatosensory</term>
<term>Spatiotemporal</term>
<term>Spinal</term>
<term>Spinothalamic tract</term>
<term>Stimulation</term>
<term>Stimulus intensity</term>
<term>Stimulus parameters</term>
<term>Subjective pain experience</term>
<term>Temperature sense</term>
<term>Thin fibers</term>
<term>Treede</term>
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<term>Ultralate leps</term>
<term>Vertex potentials</term>
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<term>dynamic spatiotemporal specificity</term>
<term>laser-evoked potentials</term>
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<term>methodology</term>
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<term>Afferent fibers</term>
<term>Analgesic</term>
<term>Argon laser</term>
<term>Bjerring</term>
<term>Brain potentials</term>
<term>Brainstem</term>
<term>Bromm</term>
<term>Central pain</term>
<term>Cerebral potentials</term>
<term>Clin</term>
<term>Clinical impairment</term>
<term>Cortical reflex myoclonus</term>
<term>Cutaneous</term>
<term>Cutaneous nociceptors</term>
<term>Cutaneous receptors</term>
<term>Dynamic spatiotemporal specificity</term>
<term>Dynamic topography</term>
<term>Electrical seps</term>
<term>Electrical stimulation</term>
<term>Electroenceph</term>
<term>Electroenceph clin</term>
<term>Electroenceph clin neurophysiol</term>
<term>Focus article</term>
<term>Human pain</term>
<term>Impairment</term>
<term>Kakigi</term>
<term>Laser</term>
<term>Laser stimulation</term>
<term>Laser stimuli</term>
<term>Late leps</term>
<term>Latency</term>
<term>Lateral</term>
<term>Leps</term>
<term>Nerve stimulation</term>
<term>Neural basis</term>
<term>Neurol</term>
<term>Neurol neurosurg psychiat</term>
<term>Neurophysiol</term>
<term>Nociceptive</term>
<term>Nociceptive activation</term>
<term>Nociceptive pathways</term>
<term>Nociceptive system</term>
<term>Oral mucosa</term>
<term>Pain experience</term>
<term>Pain intensity</term>
<term>Pain perception</term>
<term>Pain ratings</term>
<term>Pain research</term>
<term>Painful laser stimulation</term>
<term>Pathway</term>
<term>Physical properties</term>
<term>Raven press</term>
<term>Receptor</term>
<term>Sampling rate</term>
<term>Second pain</term>
<term>Sep</term>
<term>Shibasaki</term>
<term>Skin temperature</term>
<term>Somatosensory</term>
<term>Spatiotemporal</term>
<term>Spinal</term>
<term>Spinothalamic tract</term>
<term>Stimulation</term>
<term>Stimulus intensity</term>
<term>Stimulus parameters</term>
<term>Subjective pain experience</term>
<term>Temperature sense</term>
<term>Thin fibers</term>
<term>Treede</term>
<term>Ultralate</term>
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<front><div type="abstract">In Part I, this Focus article describes characteristics of laser-evoked brain potentials (LEPs) in human pain and examines some of the methodological inconsistencies. Evidence both cautioning and supporting the use of LEPs is contrasted. A host of neurological mechanisms clearly illustrates the relation of LEPs and pain processing: Lasers elicit selectively the cutaneous receptors of thin afferent fibers, the anterolateral spinal tract, and the lateral tracts of the brainstem. Implication for clinical use is briefly suggested. We raise three contending issues: (1) measurement standard, (2) association and dissociation of the LEP amplitude and pain, and (3) dynamic spatiotemporal specificity of LEPs. We conclude that LEPs may reflect nociceptive processing but may not be the entire pain experience. We emphasize the proper use of LEPs in understanding the mechanisms of nociceptive activation in pain experience. To achieve this, we address the technological advance required in studying the dynamic spatiotemporal specificity of LEPs and human pain.</div>
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