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Contact Heat Evoked Potentials to Painful and Non-Painful Stimuli: Effect of Attention Towards Stimulus Properties

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Abstract

The study aim was to evaluate the effect of different attentional tasks on the amplitudes and latencies of painful and non-painful contact heat evoked potentials (CHEPs). CHEPs were recorded in 12 healthy subjects during two experimental conditions, in which attention was oriented towards the intensity and the distress caused by the stimuli and were compared with CHEPs recorded during a neutral condition. The painful heat stimulation produced a negative potential at Cz vertex with a latency around 540 ms (Cz/N540), a positive peak at Cz electrode around 730 ms (Cz/P730) and, lastly, a positive peak around 1000 ms (Pz/P1000) in the Pz traces. The Cz/P730 wave was significantly higher in amplitude only during the painful stimulation and is probably related to coding the nociceptive activity. Varying the attentional target towards different properties of the stimulus did not cause any significant change in CHEP responses amplitude and latencies compared with the neutral condition. Our results suggest that CHEPs represent a reliable functional measure of the nociceptive pathways and that they are generated by the activation of different cerebral areas involved in pain processing. The high activation level of each of these area or their spatial neighbouring might explain the strong similarity of CHEP components recorded during different attentional manipulations.

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References

  • Ahles, T.A., Blanchard, E.B. and Leventhal, H. Cognitive control of pain: attention to the sensory aspects of the cold pressor stimulus. Cogn. Ther. Res., 1983, 7: 159–177.

    Google Scholar 

  • Arendt-Nielsen, L., Zachariae, R. and Bjerring, P. Quantitative evaluation of hypnotically suggested hyperaesthesia and analgesia by painful laser stimulation. Pain, 1990, 42: 243–251.

    PubMed  Google Scholar 

  • Arendt-Nielsen, L., Nielsen, J., Svensson, P., Shimojo, M. and Chen, C.A.N. Evoked potentials to painful heat stimulation. In: C. Barber, G.G. Celesia, I. Hashimoto and R. Kakigi (Eds.), Functional Neuroscience: Evoked Potentials and Magnetic Fields (EEG suppl. 49), Amsterdam, Elsevier Science, 1999: 261–266.

    Google Scholar 

  • Barber, J. and Mayer, D. Evaluation of the efficacy and neural mechanism of a hypnotic analgesia procedure in experimental and clinical dental pain. Pain, 1977, 4: 41–48.

    PubMed  Google Scholar 

  • Beydoun, A., Morrow, T.J., Shen, J.F. and Casey, K.L. Variability of laser-evoked potentials: attention, arousal and lateralized differences. Electroencephalogr. Clin. Neurophysiol., 1993, 88: 173–181.

    PubMed  Google Scholar 

  • Bragard, D., Chen, C.A.N. and Plaghki, L. Direct isolation of ultra-late (C-fibre) evoked brain potentials by CO2 laser stimulation of tiny cutaneous surface areas in man. Neurosci. Lett., 1996, 209: 81–84.

    PubMed  Google Scholar 

  • Bromm, B. and Treede, R.D. Pain related cerebral potentials: late and ultralate components. Int. J. Neurosci., 1987, 33: 15–23.

    PubMed  Google Scholar 

  • Bromm, B. and Lorenz, J. Neurophysiological evaluation of pain. Electroencephalogr. Clin. Neurophysiol., 1998, 107: 227–253.

    PubMed  Google Scholar 

  • Bushnell, M.C., Duncan, G.H., Dubner, R., Jones, R.L. and Maixner, W. Attentional influences on noxious and innocuous cutaneous heat detection in humans and monkeys. J. Neurosci., 1985, 5: 1103–1110.

    PubMed  Google Scholar 

  • Casey, K.L., Morrow, T.J., Lorenz, J. and Minoshima, S. Temporal and spatial dynamics of human forebrain activity during heat pain: analysis by positron emission tomography. J. Neurophysiol., 2001, 2: 951–959.

    Google Scholar 

  • Chen, A.C.N., Niddam, D.M. and Arendt-Nielsen, L. Contact heat evoked potentials as a valid means to study nociceptive pathways in human subjects. Neurosci. Lett., 2001, 316: 79–82.

    PubMed  Google Scholar 

  • Davis, K.D., Hutchison, W.D., Lozano, A.M. and Dostrovsky, J.O. Altered pain and temperature perception following cingulotomy and capsulotomy in a patient with schizoaffective disorder. Pain, 1994, 59: 189–199.

    PubMed  Google Scholar 

  • De Pascalis, V., Magurano, M.R., Bellusci, A. and Chen, A.C.N. Somatosensory event-related potential and autonomic activity to varying pain reduction cognitive strategies in hypnosis. Clin. Neurophysiol., 2001, 112: 1475–1485.

    PubMed  Google Scholar 

  • García-Larrea, L., Peyron, R., Laurent, B. and Mauguiè re, F. Association and dissociation between laser-evoked potentials and pain perception. Neuroreport, 1997, 8: 3785–3789.

    PubMed  Google Scholar 

  • Harkins, S.W., Price, D.D. and Katz, M.A. Are cerebral evoked potentials reliable indices of first or second pain? In: J.J. Bonica, U. Lindblom and A. Iggo (Eds.), Advances in Pain research and Therapy. New York, Raven Press, 1983, 5: 185–191.

    Google Scholar 

  • Harkins, S.W., Price, D.D., Roy, A., Itskovich, V.V. and Ding-Yu, F. Somatosensory evoked potentials associated with thermal activation of type II Ad mechanoheat nociceptive afferents. Intern. J. Neurosci., 2000, 104: 93–111.

    Google Scholar 

  • Hilgard, E.R. and Hilgard, J.R. Hypnosis in the relief of pain. Br. J. Psychiat., 1985, 146: 325–335.

    Google Scholar 

  • Hofbauer, R.K. Rianville, P., Duncan, G.H. and Bushnell, M.C. Cortical representation of the sensory dimension of pain. J. Neurophysiol., 2001, 86: 402–411.

    PubMed  Google Scholar 

  • Holmes, J.D., Hekmat, H. and Mozingo, B.S. Cognitive and behavioral regulation of pain: the facilitative effects of analgesic suggestions. Psychol. Rec., 1983, 33: 151–159.

    Google Scholar 

  • Hutchison, W.D., Davis, K.D., Lozano, A.M., Tasker, R.R. and Dostrovsky, J.O. Pain-related neurons in the human cingulate cortex. Nat. Neurosci., 1999, 2: 403–405.

    PubMed  Google Scholar 

  • Itskovich, V.V., Ding-Yu, F. and Harkins, S.W. Psychophysiological and psychophysical responses to experimental pain induced by two types of cutaneous thermal stimuli. Intern. J. Neurosci., 2000, 105: 63–75.

    Google Scholar 

  • Kanda, M., Shindo, K., Xu, X., Fujiwara, N., Ikeda, A., Nagamine, T. and Shibasaki, H. Cortical mechanisms underlying point localization of pain spot as studied by event-related potentials following CO2 laser stimulation in man. Exp. Brain. Res., 1999, 127(2): 131–140.

    PubMed  Google Scholar 

  • Kwan, C.H., Crawley, A.P., Mikulis, D.J. and Davis, K.D. An fMRI study of the anterior cingulate cortex and surrounding medial wall activations evoked by noxious cutaneous heat and cold stimuli. Pain, 2000, 85: 359–374.

    PubMed  Google Scholar 

  • Lehmann, D. and Skrandies, W. Spatial analysis of evoked potentials in man-a review. Prog. Neurobiol., 1984, 23: 227–250.

    PubMed  Google Scholar 

  • Levine, J.D., Gordon, N.C., Smith, R. and Fields, H.L. Post-operative pain: effect of extent of injury and attention. Brain Res., 1982, 234: 500–504.

    PubMed  Google Scholar 

  • Magerl, W., Ali, Z., Ellrich, J., Meyer, R.A. and Treede, R.D. Cand Ad-fiber components of heat-evoked cerebral potentials in healthy human subjects. Pain, 1999, 82: 127–137.

    PubMed  Google Scholar 

  • McCaul, K.D. and Haugtvedt, C. Attention, distraction and cold-pressor pain. J. Pers. Soc. Psychol., 1982, 43: 154–162.

    PubMed  Google Scholar 

  • Melzack, R. and Wall, P.D. Pain mechanisms: a new theory. Science, 1965, 150: 971–979.

    PubMed  Google Scholar 

  • Merskey, H. The definition of pain. Eur. J. Psychiatry, 1991, 6: 153–159.

    Google Scholar 

  • Miltner, W., Johnson, R., Braun, C. and Larbig, W. Somatosensory event-related potentials to painful and non-painful stimuli: effects of attention. Pain, 1989, 38: 303–312.

    PubMed  Google Scholar 

  • Miron, D., Duncan, G.H. and Bushnell, M.C. Effects of attention on the intensity and unpleasantness of thermal pain. Pain, 1989, 39: 345–352.

    PubMed  Google Scholar 

  • Nielsen, J. and Arendt-Nielsen, L. Spatial summation of heat induced painwithin and between dermatomes. Somatosens. Motor Res., 1997, 14: 119–125.

    Google Scholar 

  • Opsommer, E., Weiss, T., Plaghki, L. and Miltner, W. Dipole analysis of ultralate (C-fibres) evoked potentials after laser stimulation of tiny cutaneous surface areas in humans. Neurosci. Lett., 2001, 298: 41–44.

    PubMed  Google Scholar 

  • Plaghki, L., Delisle, D. and Godfraind, J.M. Heterotopic nociceptive conditioning stimuli and mental task modulate differently the perception and physiological correlates of short CO2 laser stimuli. Pain, 1994, 57: 181–192.

    PubMed  Google Scholar 

  • Peyron, R., García-Larrea, L., Grégoire, M.C., Costes, N., Convers, P., Lavenne, F., Mauguiè re, F., Michel, D. and Laurent, B. Haemodynamic brain responses to acute pain in humans. Sensory and attentional networks. Brain, 1999, 122: 1765–1779.

    PubMed  Google Scholar 

  • Price, D.D., Harkins, S.W., Rafii, A. and Price, C. A simultaneous comparison of fentanyl's analgesic effects on experimental and clinical pain. Pain, 1986, 24: 197–203.

    PubMed  Google Scholar 

  • Price, D.D. Psychological and neural mechanisms of the affective dimension of pain. Science, 2000, 288: 1769–1772.

    PubMed  Google Scholar 

  • Rainville, P., Duncan, G.H., Price, D.D., Carrier, B. and Bushnell, M.C. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science, 1997, 277: 968–971.

    PubMed  Google Scholar 

  • Rainville, P., Carrier, B., Hofbauer, R.K., Bushnell, M.C. and Duncan, G.H. Dissociation of sensory and affective dimensions of pain using hypnotic modulation. Pain, 1999, 82: 159–171.

    PubMed  Google Scholar 

  • Sawamoto, N., Honda, M., Okada, T., Hanakawa, T., Kanda, M., Fukuyama, H., Konishi, J. and Shibasaki, H. Expectation of pain enhances responses to nonpainful somatosensory stimulation in the anterior cingulate cortex and parietal Operculum/Posterior insula: an event related functional magnetic resonance imaging study. J. Neurosci., 2000, 20: 7438–7445.

    PubMed  Google Scholar 

  • Siedenberg, R. and Treede, R.D. Laser-evoked potentials: exogenous and endogenous components. Electroencephalogr. Clin. Neurophysiol., 1996, 100: 240–249.

    PubMed  Google Scholar 

  • Sikes, R.W. and Vogt, B.A. Nociceptive neurons in area 24 of rabbit cingulated cortex. J. Neurophysiol., 1992, 68: 1720–1732.

    PubMed  Google Scholar 

  • Talbot, J.D., Villemure, J.G., Bushnell, M.C. and Duncan, G.H. Evaluation of pain perception after capsulotomy: a case report. Somatosens. Mot. Res., 1995, 12: 115–126.

    PubMed  Google Scholar 

  • Tolle, T.R., Kaufmann, T., Siessmeier, T., Lautenbacher, S., Berthele, A., Munz, F., Zieglgansberger, W., Willoch, F., Schwaiger, M., Conrad, B. and Bartenstein, P. Region-specific encoding of sensory and affective components of pain in the human brain: a positron tomography correlation analysis. Ann. Neurol., 1999, 45: 40–47.

    PubMed  Google Scholar 

  • Tran, T.D., Lam, K., Hoshiyama, M. and Kakigi, R. A new method for measuring the conduction velocities of Abeta-, Adelta-and C-fibers following electric and C02 laser stimulation in humans. Neurosci. Lett., 2001, 301: 187–190.

    PubMed  Google Scholar 

  • Treede, R.D., Meyer, R.A. and Lesser, R.P. Similarity of threshold temperatures for first pain sensation, laser-evoked potentials and nociceptor activation. In: G.F. Gebhart, D.L. Hammond and T.S. Jensen (Eds.), Proceedings of the 7th World Congress on Pain. Progress in pain research and Management, Seattle, WA, IASP Publication, 1994, 2: 857–865.

  • Treede, R.D., Kenshalo, D.R., Gracely, R.H. and Jones, A.K.P. The cortical representation of pain. Pain, 1999, 79: 105–111.

    PubMed  Google Scholar 

  • Valeriani, M., Le Pera, D., Niddam, D., Chen, A.C.N. and Arendt-Nielsen, L. Dipolar modelling of the scalp evoked potentials to painful contact heat pain stimulation of the human skin. Neurosci Lett., 2002a, 31: 44–48.

    Google Scholar 

  • Valeriani, M., Restuccia, D., Le Pera, D., De Armas, L., Maiese, T. and Tonali, P. Attention-related modifications of ultra-late CO2 laser evoked potentials to human trigeminal nerve stimulation. Neurosci. Lett., 2002b, 329: 329–332.

    PubMed  Google Scholar 

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Le Pera, D., Valeriani, M., Niddam, D. et al. Contact Heat Evoked Potentials to Painful and Non-Painful Stimuli: Effect of Attention Towards Stimulus Properties. Brain Topogr 15, 115–123 (2002). https://doi.org/10.1023/A:1021472524739

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