Somatotopic organization of the human periventricular gray matter.
The periventricular gray (PVG) matter is an established anatomical target for chronic deep brain stimulation (DBS) in the treatment of certain intractable pain syndromes. Data relating to the representation of pain and other somatosensory modalities within the PVG in humans are negligible. We examined the character and location of somatosensory responses elicited by electrical stimulation along the length of the PVG in a patient who underwent unilateral DBS for intractable nociceptive head pain. Consistent responses were obtained and indicated the presence of a somatotopic representation in this region. The contralateral lower limb was represented cranially, followed by the upper limb and trunk, with the face area located caudally, near the level of the superior colliculi. Bilateral representation was only observed in the forehead and scalp.
Bittar
Richard G
RG
Department of Neurosurgery, Radcliffe Infirmary, Oxford, UK. neurosurgeon@ampsclinic.com
Nandi
Dipankar
D
Carter
Helen
H
Aziz
Tipu Z
TZ
D000328:Adult; D001931:Brain Mapping; D046690:Deep Brain Stimulation; D004566:Electrodes; D006801:Humans; D008297:Male; D010148:Intractable Pain / Q000473:pathology / Q000628:therapy; D010487:Periaqueductal Gray / Q000033:anatomy & histology* / Q000473:pathology; D012677:Sensation