Thalamic stimulation modulated neural oscillations in central post-stroke pain: A case report.

Heliyon

Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China.

Published: June 2024

The characterization of neural signatures within the somatosensory pathway is essential for elucidating the pathogenic mechanisms of central post-stroke pain (CPSP) and developing more effective treatments such as deep brain stimulation (DBS). We explored the characteristics of thalamic neural oscillations in response to varying pain levels under multi-day local field potential (LFP) recordings and examined the influences of continuous DBS on these thalamic activities. We recorded LFPs from the left ventral posterolateral thalamus (VPL) of a patient with CPSP in the resting state under both off- and on-stimulation conditions. We observed significant differences in the power spectral density (PSD) of different pain levels in the delta, theta and gamma frequency bands of the left VPL; 75Hz DBS significantly increased the PSD of delta and decreased the PSD of low-beta, while 130Hz DBS significantly reduced the PSD of theta and low-beta. Thalamic stimulation modulated the neural oscillations related to pain, and the changes in neural activities in response to stimulation could serve as quantitative indicators for pain relief.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237941PMC
http://dx.doi.org/10.1016/j.heliyon.2024.e32535DOI Listing

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