Brain morphological alternation in chronic pain patients with neuropathic characteristics

Abstract

Background: Neuropathic characteristics are highly involved in the development of chronic pain both physically and psychologically. However, little is known about the relationship between neuropathic characteristics and brain morphological alteration.

Objectives: The aim of this study is to investigate the mechanisms of chronic pain development by examining the above-mentioned relationships by voxel-based morphometry in patients with chronic pain.

Methods: First, we assessed neuropathic characteristics using the painDETECT Questionnaire in 12 chronic pain patients. Second, to assess the gray matter volume changes by voxel-based morphometry, we conducted magnetic resonance imaging of the brain. We applied multiregression analysis of these two assessment methods.

Results: There were significant positive correlations between painDETECT Questionnaire scores and the gray matter volume in the bilateral anterior cingulate cortex and right posterior cingulate cortex.

Conclusions: Our findings suggest that neuropathic characteristics strongly affect the brain regions related to modulation of pain in patients with chronic pain and, therefore, contribute to the severity of chronic pain.

Keywords: Brain; anterior cingulate cortex; chronic pain; neuropathic characteristics; painDETECT Questionnaire; posterior cingulate cortex; voxel-based morphometry.

Figure 1.

Gray matter volume in three regions was significantly correlated with painDETECT score. ACC: anterior cingulate cortex; PCC: posterior cingulate cortex.

Figure 2.

Correlation coefficient between average beta value within each significant cluster and PD-Q scores. ACC: anterior cingulate cortex; PCC: posterior cingulate cortex; PD-Q: painDETECT Questionnaire.