Structural and functional brain abnormalities in postherpetic neuralgia: A systematic review of neuroimaging studies.

Abstract:

:In recent decades, an increasing number of neuroimaging studies utilizing magnetic resonance imaging (MRI) have explored the differential effects of postherpetic neuralgia (PHN) on brain structure and function. We systematically reviewed and integrated the findings from relevant neuroimaging studies in PHN patients. A total of 15 studies with 16 datasets were ultimately included in the present study, which were categorized by the different neuroimaging modalities. The results revealed that PHN was closely associated with structural/microstructural and functional abnormalities of the brain mainly located in the 'pain matrix', including the thalamus, insula, parahippocampus, amygdala, dorsolateral prefrontal cortex, precentral gyrus and inferior parietal lobe, as well as other regions, such as the precuneus, lentiform nucleus and brainstem. Furthermore, a disruption of multiple networks, including the default-mode network, salience network and limbic system, may contribute to the neurophysiological mechanisms underlying PHN. The findings indicate that the cerebral abnormalities of PHN were not restricted to the pain matrix but extended to other regions, profoundly affecting the regulation and moderation of pain processing in PHN. Future prospective and longitudinal neuroimaging studies with larger samples will elucidate the progressive trajectory of neural changes in the pathophysiological process of PHN.

journal_name

Brain Res

journal_title

Brain research

authors

Tang Y,Wang M,Zheng T,Xiao Y,Wang S,Han F,Chen G

doi

10.1016/j.brainres.2020.147219

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

147219

eissn

0006-8993

issn

1872-6240

pii

S0006-8993(20)30577-1

journal_volume

1752

pub_type

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