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The Journal of Neuroscience, August 27, 2003, 23(21):7897-7903
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Specific and Somatotopic Functional Magnetic Resonance Imaging Activation in the Trigeminal Ganglion by Brush and Noxious Heat
David Borsook, *
Alexandre F. M. DaSilva, *
Alex Ploghaus, and
Lino Becerra *
Center for Pain Functional Neuroimaging and Therapy Research, Athinoula
Martinos NMR Center, Department of Radiology, Massachusetts General Hospital,
Harvard Medical School, Boston, Massachusetts 02129
We used functional magnetic resonance imaging (fMRI) to assess activation
in the trigeminal ganglion during innocuous mechanical (brush) and noxious
thermal (46°C) stimulation of the face within the receptive fields of each
of the three divisions of the trigeminal nerve in healthy volunteers. For both
stimulus types, we observed signal changes only in the ipsilateral ganglion,
and activation occurred somatotopically, as predicted by the known anatomical
segregation of the neurons comprising the ophthalmic (V1), maxillary (V2), and
mandibular (V3) divisions of the nerve. Signal decreased after brush stimuli
and increased after the application of noxious heat. The abilities to detect
somatotopic activation within the ganglion and to segregate non-noxious
mechanical from noxious thermal stimuli suggest that fMRI will be valuable for
measuring changes in the trigeminal ganglion in human models of neuropathic
pain and in the clinical condition itself and may also be useful in the
evaluation of pain therapies.
Key words: trigeminal ganglion; human; fMRI; pain; brush; heat
Received March 10, 2003;
revised June 19, 2003;
accepted July 2, 2003.
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