title: Brain mechanisms supporting spatial discrimination of pain.
abstract: Pain is a uniquely individual experience that is heavily shaped by evaluation and judgments about afferent sensory information. In visual, auditory, and tactile sensory modalities, evaluation of afferent information engages brain regions outside of the primary sensory cortices. In contrast, evaluation of sensory features of noxious information has long been thought to be accomplished by the primary somatosensory cortex and other structures associated with the lateral pain system. Using functional magnetic resonance imaging and a delayed match-to-sample task, we show that the prefrontal cortex, anterior cingulate cortex, posterior parietal cortex, thalamus, and caudate are engaged during evaluation of the spatial locations of noxious stimuli. Thus, brain mechanisms supporting discrimination of sensory features of pain extend far beyond the somatosensory cortices and involve frontal regions traditionally associated with affective processing and the medial pain system. These frontoparietal interactions are similar to those involved in the processing of innocuous information and may be critically involved in placing afferent sensory information into a personal historical context.
authors: Department of Neurobiology and Anatomy, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1010, USA.
authors: Yoshitetsu
authors: Y
authors: Oshiro
authors: Alexandre S
authors: AS
authors: Quevedo
authors: John G
authors: JG
authors: McHaffie
authors: Robert A
authors: RA
authors: Kraft
authors: Robert C
authors: RC
authors: Coghill
mesh_terms: D000328:Adult; D001931:Brain Mapping; D002421:Caudate Nucleus / Q000503:physiopathology; D004192:Discrimination, Psychological; D005260:Female; D006179:Gyrus Cinguli / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008568:Memory; D009044:Motor Cortex / Q000503:physiopathology; D010146:Pain / Q000503:physiopathology*; D010147:Pain Measurement; D010296:Parietal Lobe / Q000503:physiopathology; D010469:Perceptual Distortion; D017397:Prefrontal Cortex / Q000503:physiopathology*; D011930:Reaction Time; D013788:Thalamus / Q000503:physiopathology