Pain-related cerebral activation is altered by a distracting cognitive task.

It has previously been suggested that the activity in sensory regions of the brain can be modulated by attentional mechanisms during parallel cognitive processing. To investigate whether such attention-related modulations are present in the processing of pain, the regional cerebral blood flow was me...

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Publicado en:PAIN Vol. 85; no. 1-2; pp. 19 - 31
Autores principales: Petrovic, P, Petersson, K M, Ghatan, P H, Stone-Elander, S, Ingvar, M
Formato: clinical trial research Journal Article
Publicado: Lippincott Williams & Wilkins 2000 Mar
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2000 Mar
      vid: 85
      iid: 1-2
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        104719684
        104719684
        NLM10692599
        2011077354
        10.1016/S0304-3959(99)00232-8
        NLM10692599
        104719684
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      tig:
        atl: Pain-related cerebral activation is altered by a distracting cognitive task.
      aug:
        au:
          Petrovic, P
          Petersson, K M
          Ghatan, P H
          Stone-Elander, S
          Ingvar, M
        affil: Section of Clinical Neurophysiology, Department of Clinical Neuroscience, Karolinska Institute/Karolinska Hospital, 171 76, Stockholm, Sweden.
      sug:
        subj:
          Attention
          Cerebral Cortex Physiopathology
          Cognition
          Pain Physiopathology
          Pain Psychosocial Factors
          Adult
          Cerebral Cortex Radiography
          Cerebrovascular Circulation Physiology
          Cold
          Electroencephalography
          Human
          Male
          Memory, Short Term
          Pain Radiography
          Pressure
          Tomography, Emission-Computed
          Clinical Trials
          Adult: 19-44 years
          Male
      ab: It has previously been suggested that the activity in sensory regions of the brain can be modulated by attentional mechanisms during parallel cognitive processing. To investigate whether such attention-related modulations are present in the processing of pain, the regional cerebral blood flow was measured using [(15)O]butanol and positron emission tomography in conditions involving both pain and parallel cognitive demands. The painful stimulus consisted of the standard cold pressor test and the cognitive task was a computerised perceptual maze test. The activations during the maze test reproduced findings in previous studies of the same cognitive task. The cold pressor test evoked significant activity in the contralateral S1, and bilaterally in the somatosensory association areas (including S2), the ACC and the mid-insula. The activity in the somatosensory association areas and periaqueductal gray/midbrain were significantly modified, i.e. relatively decreased, when the subjects also were performing the maze task. The altered activity was accompanied with significantly lower ratings of pain during the cognitive task. In contrast, lateral orbitofrontal regions showed a relative increase of activity during pain combined with the maze task as compared to only pain, which suggests the possibility of the involvement of frontal cortex in modulation of regions processing pain.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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