title: Differential effects of pain and spatial attention on digit representation in the human primary somatosensory cortex.
abstract: Reorganization of primary somatosensory cortex subsequent to either reduced or enhanced peripheral input is well established. Recently, plastic changes following arm amputation in humans were shown to correlate with phantom limb pain. This raised the question whether spatial attention and pain may cause cortical reorganization in the absence of deafferentation. Using non-invasive neuroelectric imaging to study the digit representation in the human primary somatosensory cortex, we report a delayed shift of the representation of digits 2-3 due to pain on the digits 4-5, which outlasted the pain by several minutes. In contrast, reorganization during spatial attention was less pronounced, was seen almost immediately and only during the condition. These data indicate that spatial attention and pain without peripheral deafferentation cause cortical reorganization by different mechanisms. The differential time course of reorganizational effects observed at the cortex may be due to modulation of the lemniscal pathways by nociceptive input from the spinal cord dorsal horn.
authors.affiliation: Department of Neurology, RWTH Aachen, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Buchner
authors.forename: P
authors.initials: P
authors.lastname: Richrath
authors.forename: J
authors.initials: J
authors.lastname: Grünholz
authors.forename: U
authors.initials: U
authors.lastname: Noppeney
authors.forename: T D
authors.initials: TD
authors.lastname: Waberski
authors.forename: R
authors.initials: R
authors.lastname: Gobbelé
authors.forename: K
authors.initials: K
authors.lastname: Willmes
authors.forename: R D
authors.initials: RD
authors.lastname: Treede
mesh_terms: D000328:Adult; D001288:Attention / Q000502:physiology*; D001931:Brain Mapping; D001933:Brain Stem / Q000502:physiology; D003080:Cold Temperature; D004558:Electric Stimulation; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D005260:Female; D005385:Fingers / Q000294:innervation / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009473:Neuronal Plasticity / Q000502:physiology; D010146:Pain / Q000503:physiopathology*; D010812:Physical Stimulation; D011930:Reaction Time / Q000502:physiology; D013003:Somatosensory Cortex / Q000033:anatomy & histology / Q000502:physiology*; D013028:Space Perception / Q000502:physiology*; D014110:Touch / Q000502:physiology