Deep brain stimulation has shown remarkable potential in alleviating otherwise treatment-resistant chronic pain, but little is currently known about the underlying neural mechanisms. Here for the first time, we used noninvasive neuroimaging by magnetoencephalography to map changes in neural activity induced by deep brain stimulation in a patient with severe phantom limb pain. When the stimulator was turned off, the patient reported significant increases in subjective pain. Corresponding significant changes in neural activity were found in a network including the mid-anterior orbitofrontal and subgenual cingulate cortices; these areas are known to be involved in pain relief. Hence, they could potentially serve as future surgical targets to relieve chronic pain.

译文

深部脑刺激在缓解其他抗药性慢性疼痛方面显示出显着的潜力,但目前对潜在的神经机制知之甚少。在这里,我们首次使用脑磁图的无创神经影像学来绘制严重幻肢疼痛患者的深部脑刺激引起的神经活动变化。当刺激器关闭时,患者报告主观疼痛显着增加。在包括眶额叶中部和下扣带回皮质在内的网络中发现了神经活动的相应显着变化; 已知这些区域与疼痛缓解有关。因此,它们可能会成为缓解慢性疼痛的未来手术目标。

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