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Biomedical subjects

Markus Ploner

Publications and source records attributed to Markus Ploner.

10 recordsLinked to original sources
PubMed2006

Pain processing is faster than tactile processing in the human brain.

Pain signals threat and drives the individual into a behavioral response that significantly depends on a short stimulus-response latency. Paradoxically, the peripheral and spinal conduction velocities of pain are much slower than of tactile information. However, cerebral processing times and reaction times of touch and pain have not yet been fully assessed. Here we show that reaction times to selective nociceptive cutaneous laser stimuli are substantially faster than expected from the peripheral conduction velocities. Furthermore, by using magnetoencephalography, we found that latencies between earliest stimulus-evoked cortical responses and reaction times are approximately 60 ms shorter for nociceptive than for tactile stimuli. These findings reveal that cerebral processing of pain is substantially faster than processing of tactile information and relatively compensates for the slow peripheral and spinal conduction velocities of pain. Our observation shows how the cerebral organization of pain processing enhances motor responses to potentially harmful stimuli and thereby subserves the particular behavioral demands of pain.

Adult↗
PubMed2006

Oscillatory activity reflects the excitability of the human somatosensory system.

The neuronal activity of the resting human brain is dominated by spontaneous oscillations in primary sensory and motor areas. These oscillations are thought to reflect the excitability of sensory and motor systems that can be modulated according to the actual behavioral demands. However, so far, evidence for an association between oscillatory activity and excitability has been inconsistent. Here, we used magnetoencephalography to reinvestigate the relationship between oscillatory activity and excitability in the somatosensory system on a single trial basis. Brief painful stimuli were applied to relate pain-induced suppressions of oscillatory activity to pain-induced increases in excitability. The analysis reveals a significant negative correlation between sensorimotor oscillatory activity, particularly in the alpha-band, and excitability of somatosensory cortices. Oscillatory activity outside the somatosensory system did not correlate with somatosensory excitability. These findings demonstrate that modulations of sensorimotor oscillatory activity specifically reflect modulations in excitability of the somatosensory system and thus provide direct evidence for the basic tenet of an association between oscillatory activity and cortical excitability.

Adult↗
PubMed2006

Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures.

Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.

Adult↗
PubMed2005

Pain suppresses spontaneous brain rhythms.

The neuronal activity of the resting human brain is dominated by spontaneous oscillatory activity of primary visual, somatosensory and motor areas. These spontaneous brain rhythms are related to the functional state of a system. A higher amplitude of oscillatory activity is thought to reflect an idling state, whereas a lower amplitude is associated with activation and higher excitability of the specific system. Here, we used magnetoencephalography to investigate the effects of pain on spontaneous brain rhythms. Our results show that a focally applied brief painful stimulus globally suppresses spontaneous oscillations in somatosensory, motor and visual areas. This global suppression contrasts with the regionally specific suppressions of other modalities and shows that pain induces a widespread change in cortical function and excitability. This global change in excitability may reflect the alerting function of pain which opens the gates for processing of and reacting to stimuli of existential relevance.

Adult↗
PubMed2004

Pain facilitates tactile processing in human somatosensory cortices.

Touch and pain are intimately related modalities. Despite a substantial overlap in their cortical representations interactions between both modalities are largely unknown at the cortical level. We therefore used magnetoencephalography and selective nociceptive cutaneous laser stimulation to investigate the effects of brief painful stimuli on cortical processing of touch. Using a conditioning test stimulus paradigm, our results show that painful conditioning stimuli facilitate processing of tactile test stimuli applied 500 ms later. This facilitation applies to cortical responses later than 40 ms originating from primary (S1) and secondary (S2) somatosensory cortices but not to earlier S1 responses. By contrast, tactile conditioning stimuli yield a decrease of early as well as late responses to tactile test stimuli. Control experiments show that pain-induced facilitation of tactile processing is not restricted to the site of the painful conditioning stimulus, whereas auditory conditioning does not yield a comparable facilitation. Apart from a lack of spatial specificity, the facilitating effect of pain closely resembles attentional effects on cortical processing of tactile stimuli. Thus these findings may represent a physiological correlate of an alerting function of pain as a change in the internal state to prepare for processing signals of particular relevance.

Adult↗
PubMed2002

Cortical representation of first and second pain sensation in humans.

Single painful stimuli evoke two successive and qualitatively distinct sensations referred to as first and second pain sensation. Peripherally, the neural basis of this phenomenon is a dual pathway for pain with Adelta and C fibers mediating first and second pain, respectively. Yet, the differential cortical correlates of both sensations are largely unknown. We therefore used magnetoencephalography to record and directly compare first and second pain-related cortical responses to cutaneous laser stimuli in humans. Our results show that brief painful stimuli evoke sustained cortical activity corresponding to sustained pain perception comprising early first pain-related and late second pain-related components. Cortical activity was located in primary (S1) and secondary (S2) somatosensory cortices and anterior cingulate cortex. Time courses of activations disclosed that first pain was particularly related to activation of S1 whereas second pain was closely related to anterior cingulate cortex activation. Both sensations were associated with S2 activation. These results correspond to the different perceptual characteristics of both sensations and probably reflect different biological functions of first and second pain. First pain signals threat and provides precise sensory information for an immediate withdrawal, whereas second pain attracts longer-lasting attention and motivates behavioral responses to limit further injury and optimize recovery.

Adult↗
PubMed2002

Cortical representation of venous nociception in humans.

Painful sensations can be evoked by application of thermal, mechanical, and chemical stimuli to the blood vessels. The cortical substrates of these sensations are unknown. We therefore used whole-head magnetoencephalography to record cortical responses to painful laser stimuli applied cutaneously and intravenously to the dorsum of the hand in healthy human subjects. Similar to the cutaneous stimuli, venous stimulation nearly simultaneously activated the contralateral primary and the bilateral secondary somatosensory cortices. In the venous stimulation condition, all activation peaks were about 50 ms earlier than in the cutaneous stimulation condition. Locations of responses to both stimuli did not differ. These results show that the afferent volley from the veins reaches the cerebral cortex significantly earlier than that from the skin. This might be due to differences in peripheral conduction velocity. Apart from this, these findings demonstrate that venous nociception shares the cortical representation of cutaneous nociception in human somatosensory cortices. Thus the cortical representation of nociceptive processing from tissues of mesodermal and ectodermal origin appears to be similar.

Adult↗