Abnormal brain spontaneous neural activity in neuromyelitis optica spectrum disorder with neuropathic pain

Bibliographic Details
Title: Abnormal brain spontaneous neural activity in neuromyelitis optica spectrum disorder with neuropathic pain
Authors: Gendi Wang, Xiang Chen, Xiaoyuan Wang, Yinghui Duan, Hanqing Gao, Xiaopei Ji, Yunfei Zhu, Xuanyi Xiang, Hairong Ma, Yonggang Li, Qun Xue
Source: Frontiers in Neurology, Vol 15 (2024)
Publisher Information: Frontiers Media S.A., 2024.
Publication Year: 2024
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: neuromyelitis optica spectrum disorder, neuropathic pain, amplitude of low-frequency fluctuations, anterior insula, amygdala, Neurology. Diseases of the nervous system, RC346-429
More Details: BackgroundNeuropathic pain is one of the most common symptoms in neuromyelitis optica spectrum disorder (NMOSD). Notwithstanding, its underlying mechanism remains obscure.MethodsThe amplitude of low-frequency fluctuations (ALFF) metric was employed to investigate spontaneous neural activity alterations via resting-state functional magnetic resonance imaging (rs-MRI) data from a 3.0 T MRI scanner, in a sample of 26 patients diagnosed with NMOSD with neuropathic pain (NMOSD-WNP), 20 patients with NMOSD but without neuropathic pain (NMOSD-WoNP), and 38 healthy control (HC) subjects matched for age and sex without the comorbidity of depressive or anxious symptoms.ResultsIt was observed that patients with NMOSD-WNP displayed a significant ALFF decrease in the left amygdala and right anterior insula, relative to both patients with NMOSD-WoNP and HC subjects. Furthermore, ALFF values in the left amygdala were negatively correlated with the scores of the Douleur Neuropathique en 4 Questions and McGill Pain Questionnaire (both sensory and affective descriptors) in patients with NMOSD-WNP. Additionally, there were negative correlations between the ALFF values in the right anterior insula and the duration of pain and the number of relapses in patients with NMOSD-WNP.ConclusionThe present study characterizes spontaneous neural activity changes in brain regions associated with sensory and affective processing of pain and its modulation, which underscore the central aspects in patients with NMOSD-WNP. These findings might contribute to a better understanding of the pathophysiologic basis of neuropathic pain in NMOSD.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2295
Relation: https://www.frontiersin.org/articles/10.3389/fneur.2024.1408759/full; https://doaj.org/toc/1664-2295
DOI: 10.3389/fneur.2024.1408759
Access URL: https://doaj.org/article/562c38b118854ccfb022675539686c98
Accession Number: edsdoj.562c38b118854ccfb022675539686c98
Database: Directory of Open Access Journals
More Details
ISSN:16642295
DOI:10.3389/fneur.2024.1408759
Published in:Frontiers in Neurology
Language:English