Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28928638
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Neuroanat
2017 ; 11
(ä): 73
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Affective Circuitry Alterations in Patients with Trigeminal Neuralgia
#MMPMID28928638
Hayes DJ
; Chen DQ
; Zhong J
; Lin A
; Behan B
; Walker M
; Hodaie M
Front Neuroanat
2017[]; 11
(ä): 73
PMID28928638
show ga
Trigeminal neuralgia (TN) is a severe chronic neuropathic facial pain disorder.
Affect-related behavioral and structural brain changes have been noted across
chronic pain disorders, but have not been well-studied in TN. We examined the
potential impact of TN (37 patients: 23 with right-sided TN, 14 with left-sided
TN), compared to age- and sex-matched healthy controls, on three major white
matter tracts responsible for carrying affect-related signals-i.e., cingulum,
fornix, and medial forebrain bundle. Diffusion magnetic resonance imaging (dMRI),
deterministic multi-tensor tractography for tract modeling, and a model-driven
region-of-interest approach was used. We also used volumetric gray matter
analysis on key targets of these pathways (i.e., hippocampus, cingulate cortex
subregions, nucleus accumbens, and ventral diencephalon). Hypotheses included:
(1) successful modeling of tracts; (2) altered white matter microstructure of the
cingulum and medial forebrain bundle (via changes in dMRI metrics such as
fractional anisotropy, and mean, axial, and radial diffusivities) compared to
controls; (3) no alterations in the control region of the fornix; (4)
corresponding decreases in gray matter volumes. Results showed (1) all 325 tracts
were successfully modeled, although 11 were partially complete; (2) The cingulum
and medial forebrain bundle (MFB) were altered in those with TN, with dMRI metric
changes in the middle (p = 0.001) and posterior cingulum (p < 0.0001), and the
MFB near the ventral tegmental area (MFB-VTA) (p = 0.001). The posterior cingulum
and MFB-VTA also showed unilateral differences between right- and left-sided TN
patients; (3) No differences were noted at any fornix subdivision; (4) decreased
volumes were noted for the hippocampus, posterior cingulate, nucleus accumbens,
and ventral diencephalon. Together, these results support the notion of
selectively altered affective circuits in patients with TN, which may be related
to the experience of negative affect and the increased comorbidity of mood and
anxiety disorders in this population.