Cortico-subcortical activation patterns for itch and pain imagery

Hideki Mochizuki, Ulf Baumgärtner, Sandra Kamping, Michaela Ruttorf, Lothar R. Schad, Herta Flor, Ryusuke Kakigi, Rolf Detlef Treede

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The imagery of itch and pain evokes emotional responses and covert motor responses (scratching to itch and withdrawal to pain). This suggests some similarity in cerebral mechanisms. However, itch is more socially contagious than pain, as evidenced by the fact that scratching behaviors can be easily initiated by watching itch-inducing situations, whereas withdrawal is less easily initiated by watching painful situations. Thus, we assumed that the cerebral mechanisms of itch imagery partly differ from those of pain imagery in particular with respect to motor regions. We addressed this issue in 18 healthy subjects using functional magnetic resonance imaging. The subjects were instructed to imagine itch and pain sensations in their own bodies while viewing pictures depicting stimuli associated with these sensations. Itch and pain imagery activated the anterior insular cortex (aIC) and motor-related regions such as supplementary motor area, basal ganglia, thalamus, and cerebellum. Activity in these regions was not significantly different between itch and pain imagery. However, functional connectivity between motor-related regions and the aIC showed marked differences between itch and pain imagery. Connectivity with the aIC was stronger in the primary motor and premotor cortices during pain imagery and stronger in the globus pallidus during itch imagery. These findings indicate that brain regions associated with imagery of itch are the same as those involved in imagery of pain, but their functional networks differ. These differences in brain networks may explain why motor responses to itch are more socially contagious than those related to pain.

Original languageEnglish (US)
Pages (from-to)1989-1998
Number of pages10
JournalPain
Volume154
Issue number10
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

Fingerprint

Imagery (Psychotherapy)
Pain
Motor Cortex
Cerebral Cortex
Globus Pallidus
Brain
Basal Ganglia
Thalamus
Cerebellum
Healthy Volunteers
Magnetic Resonance Imaging

Keywords

  • Anterior insular cortex Craving Globus pallidus Itch imagery Motivation Pain imagery

ASJC Scopus subject areas

  • Pharmacology
  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Mochizuki, H., Baumgärtner, U., Kamping, S., Ruttorf, M., Schad, L. R., Flor, H., ... Treede, R. D. (2013). Cortico-subcortical activation patterns for itch and pain imagery. Pain, 154(10), 1989-1998. https://doi.org/10.1016/j.pain.2013.06.007

Cortico-subcortical activation patterns for itch and pain imagery. / Mochizuki, Hideki; Baumgärtner, Ulf; Kamping, Sandra; Ruttorf, Michaela; Schad, Lothar R.; Flor, Herta; Kakigi, Ryusuke; Treede, Rolf Detlef.

In: Pain, Vol. 154, No. 10, 01.01.2013, p. 1989-1998.

Research output: Contribution to journalArticle

Mochizuki, H, Baumgärtner, U, Kamping, S, Ruttorf, M, Schad, LR, Flor, H, Kakigi, R & Treede, RD 2013, 'Cortico-subcortical activation patterns for itch and pain imagery', Pain, vol. 154, no. 10, pp. 1989-1998. https://doi.org/10.1016/j.pain.2013.06.007
Mochizuki H, Baumgärtner U, Kamping S, Ruttorf M, Schad LR, Flor H et al. Cortico-subcortical activation patterns for itch and pain imagery. Pain. 2013 Jan 1;154(10):1989-1998. https://doi.org/10.1016/j.pain.2013.06.007
Mochizuki, Hideki ; Baumgärtner, Ulf ; Kamping, Sandra ; Ruttorf, Michaela ; Schad, Lothar R. ; Flor, Herta ; Kakigi, Ryusuke ; Treede, Rolf Detlef. / Cortico-subcortical activation patterns for itch and pain imagery. In: Pain. 2013 ; Vol. 154, No. 10. pp. 1989-1998.
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