Altered ALFF of the Brain Regions associated with Pain Symptoms and Negative Emotion in Trigeminal Neuralgia.

World Neurosurg

Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 1 Maoyuan North Road, Nanchong, Sichuan 637000, People's Republic of China; Science and Technology and Innovation Center, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China; Nanomedicine Innovation Research and Transformation Institute, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China. Electronic address:

Published: March 2025

Object: Utilizing whole-brain functional magnetic resonance imaging(fMRI) to investigate abnormal spontaneous brain activity in the resting state of patients with trigeminal neuralgia (TN) and explore their relationship with pain symptoms and negative emotions.

Methods: This study included 46 patients with TN diagnosed at our hospital from December 2022 to June 2023 and 35 healthy controls (HCs). All patients with TN completed questionnaires related to pain and emotions. The data analysis used the DPABI toolkit based on MATLAB platform and compared amplitude of low frequency fluctuation (ALFF) in brain between TN and HC groups. To delve deeper, we will utilize Pearson correlation analysis to explore the intricate relationships between pain symptoms, negative emotions, and brain functional abnormalities in patients of TN.

Result: Compared with HCs, patients of TN exhibited significantly reduced ALFF in the left superior frontal gyrus (SFG), bilateral middle frontal gyrus (MFG), bilateral inferior frontal gyrus (IFG), right precentral gyrus (PrG), right superior temporal gyrus (STG), bilateral middle temporal gyrus (MTG) , left inferior temporal gyrus (ITG), right cingulate gyrus (CG) (p<0.05). In correlation analysis, ALFF in the left SFG and right CG were negatively correlated with pain symptoms and negative emotions in patients of TN.

Conclusion: Patients of TN show functional abnormalities in several key brain regions that are involved in pain perception and emotional regulation. These abnormalities primarily manifest as a reduction in spontaneous neural activity. The ALFF in the left SFG and right CG is negatively correlated with the severity of pain and negative emotions, indicating that the more severe the pain and negative emotions in patients of TN, the more obvious the decrease in neural activity in specific brain regions. This suggests that the left SFG and right CG may be characteristic brain regions in the pathophysiological mechanism of TN.

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http://dx.doi.org/10.1016/j.wneu.2025.123875DOI Listing

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