title: Reversible attenuation of neuropathic-like manifestations in rats by lesions or local blocks of the intralaminar or the medial thalamic nuclei.
abstract: OBJECTIVE
  Thalamic somatosensory nuclei have been classified into medial and lateral systems based on their role in nociception. An imbalance between these two systems may result in abnormal somatic sensations and spontaneous pain. This study aims to investigate the effects of transient or permanent block of the medial and intralaminar nuclear groups on the neuropathic-like behavior in a rat model for mononeuropathy.
  
  
  METHODS
  Neuropathy was induced on one hind paw in different groups of rats following the spared nerve injury model. When the resulting hyperalgesia and allodynia (tactile and cold) reached a maximum plateau, the rats received either chemical or electrolytic lesion or lidocaine (2%) microperfusion, placed in the various thalamic nuclear groups.
  
  
  RESULTS
  All procedures produced transient but significant decrease of neuropathic manifestations. The magnitude and duration of decrease depended on the type and the site of the block. These effects can be ranked in increasing order as follows, electrolytic<chemical<lidocaine micro-perfusion according to the procedure, and as rostro-medial<ventro-median<parafascicular nuclei, according to the site of the block. Thermal hyperalgesia was the most affected while cold allodynia showed the least attenuation. Neuropathic manifestations returned to their pre-lesion levels after 2-3 weeks, along with frequently observed delayed hyper-responsiveness to the hotplate test.
  
  
  CONCLUSIONS
  The observed results demonstrate the involvement of the medial and intralaminar thalamic nuclei in the processing of neuropathic-like manifestations, and the reversibility of the effects suggests the flexibility of the neural network involved in supraspinal processing of nociceptive information.
authors.affiliation: Department of Human Morphology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon. nesaade@aub.edu.lb
authors.forename: N E
authors.initials: NE
authors.lastname: Saadé
authors.forename: H
authors.initials: H
authors.lastname: Al Amin
authors.forename: S
authors.initials: S
authors.lastname: Abdel Baki
authors.forename: S
authors.initials: S
authors.lastname: Chalouhi
authors.forename: S J
authors.initials: SJ
authors.lastname: Jabbur
authors.forename: S F
authors.initials: SF
authors.lastname: Atweh
mesh_terms: D000818:Animals; D001522:Behavior, Animal; D003080:Cold Temperature; D003714:Denervation; D005260:Female; D006358:Hot Temperature; D006930:Hyperalgesia / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology; D006941:Hyperesthesia / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology; D020646:Intralaminar Thalamic Nuclei; D008297:Male; D020645:Mediodorsal Thalamic Nucleus; D009407:Nerve Block / Q000379:methods; D010525:Peripheral Nerves; D010543:Peroneal Nerve; D051381:Rats; D017207:Rats, Sprague-Dawley; D013787:Thalamic Nuclei / Q000503:physiopathology*; D013979:Tibial Nerve; D013997:Time Factors