Draganski, B. and Moser, T. and Lummel, N. and Gänssbauer, S. and Bogdahn, U. and Haas, F. and May, A. (2006) Decrease of thalamic gray matter following limb amputation. NeuroImage 31 (3), pp. 951-957.
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Modern neuroscience has elucidated general mechanisms underlying the functional plasticity of the adult mammalian brain after limb deafferentation. However, little is known about possible structural alterations following amputation and chronic loss of afferent input in humans. Using voxel-based morphometry (VBM), based on high-resolution magnetic resonance images, we investigated the brain structure of 28 volunteers with unilateral limb amputation and compared them to healthy controls. Subjects with limb amputation exhibited a decrease in gray matter of the posterolateral thalamus contralateral to the side of the amputation. The thalamic gray matter differences were positively correlated with the time span after the amputation but not with the frequency or magnitude of coexisting phantom pain. Phantom limb pain was unrelated to thalamic structural variations, but was positively correlated to a decrease in brain areas related to the processing of pain. No gray matter increase was detected. The unilateral thalamic differences may reflect a structural correlate of the loss of afferent input as a secondary change following deafferentation.
|Date:||1 July 2006|
|Institutions:||Medicine > Lehrstuhl für Neurologie|
|Keywords:||Neuroplasticity; Thalamus; SMA; Limb amputation; Cortex; Voxel-based morphometry; Phantom pain|
|Subjects:||600 Technology > 610 Medical sciences Medicine|
|Refereed:||Yes, this version has been refereed|
|Created at the University of Regensburg:||Unknown|
|Deposited On:||01 Mar 2007|
|Last Modified:||20 Jul 2011 20:51|