Cluster headache in an elderly patient treated with neurofunctional acupuncture a case report

Rigo, Julio Cesar; Couto, Cláudio Luiz Mendes; Corte, Roberta Rigo Dalla

doi:10.1016/j.arthe.2014.02.002

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Using fMRI, VN transcutaneous stimulation via cervical and auricular sites demonstrated widespread activity in the nucleus of the solitary tract, spinal trigeminal nucleus (TN), locus coeruleus and cortical areas (Frangos et al, 2015; Yakunina et al, 2017; Frangos and Komisaruk, 2017). Still, occipital and trigeminal nerve are being studied and seem to have a role on pain autonomic response and headache treatment (Rigo et al, 2014; Chassot et al, 2015; Chou et al, 2017; Waki et al, 2017). Another peripheral nerve with a close connection with the VN is the accessory spinal nerve (ASN).…”

Section: Introductionmentioning

confidence: 99%

Functional Spectroscopy Mapping of Pain Processing Cortical Areas During Non-painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

Bandeira

Antunes

Soldatelli

et al. 2019

Front. Hum. Neurosci.

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Peripheral electrical stimulation (PES), which encompasses several techniques with heterogeneous physiological responses, has shown in some cases remarkable outcomes for pain treatment and clinical rehabilitation. However, results are still mixed, mainly because there is a lack of understanding regarding its neural mechanisms of action. In this study, we aimed to assess its effects by measuring cortical activation as indexed by functional near infrared spectroscopy (fNIRS). fNIRS is a functional optical imaging method to evaluate hemodynamic changes in oxygenated (HbO) and de-oxygenated (HbR) blood hemoglobin concentrations in cortical capillary networks that can be related to cortical activity. We hypothesized that non-painful PES of accessory spinal nerve (ASN) can promote cortical activation of sensorimotor cortex (SMC) and dorsolateral prefrontal cortex (DLPFC) pain processing cortical areas. Fifteen healthy volunteers received both active and sham ASN electrical stimulation in a crossover study. The hemodynamic cortical response to unilateral right ASN burst electrical stimulation with 10 Hz was measured by a 40-channel fNIRS system. The effect of ASN electrical stimulation over HbO concentration in cortical areas of interest (CAI) was observed through the activation of right-DLPFC ( p = 0.025) and left-SMC ( p = 0.042) in the active group but not in sham group. Regarding left-DLPFC ( p = 0.610) and right-SMC ( p = 0.174) there was no statistical difference between groups. As in non-invasive brain stimulation (NIBS) top-down modulation, bottom-up electrical stimulation to the ASN seems to activate the same critical cortical areas on pain pathways related to sensory-discriminative and affective-motivational pain dimensions. These results provide additional mechanistic evidence to develop and optimize the use of peripheral nerve electrical stimulation as a neuromodulatory tool (NCT 03295370— www.clinicaltrials.gov ).

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Section: Introductionmentioning

confidence: 99%

Functional Spectroscopy Mapping of Pain Processing Cortical Areas During Non-painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

Bandeira

Antunes

Soldatelli

et al. 2019

Front. Hum. Neurosci.

View full text Add to dashboard Cite

show abstract

“…Using fMRI, VN transcutaneous stimulation via cervical and auricular sites demonstrated widespread activity in the nucleus of the solitary tract, spinal trigeminal nucleus (TN), locus coeruleus and www.videleaf.com cortical areas [44][45][46]. Still, occipital and trigeminal nerve are being studied and seem to have a role on pain autonomic response and headache treatment [47][48][49][50]. Another peripheral nerve with a close connection with the VN is the accessory spinal nerve (ASN).…”

Section: Introductionmentioning

confidence: 99%

Functional Spectroscopy Mapping of Pain Processing Cortical Areas during Non-Painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

Bandeira¹,

Antunes²,

Soldatelli³

et al. 2020

Prime Archives in Neuroscience

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Cluster headache in an elderly patient treated with neurofunctional acupuncture a case report

Cited by 2 publications

References 26 publications

Functional Spectroscopy Mapping of Pain Processing Cortical Areas During Non-painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

Functional Spectroscopy Mapping of Pain Processing Cortical Areas During Non-painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

Functional Spectroscopy Mapping of Pain Processing Cortical Areas during Non-Painful Peripheral Electrical Stimulation of the Accessory Spinal Nerve

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