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Related Concept Videos

Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...

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Related Experiment Video

Updated: Jul 26, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Gray Matter Alterations in Medication Overuse Headache: A Voxel-Based Morphometry Meta-Analysis.

Weiming Luo1, Yuke Teng1, Xingyao Chen2

  • 1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China; Key Laboratory of Acupuncture for Senile Disease (Chengdu University of TCM), Ministry of Education, Chengdu, Sichuan, China.

Pain Physician
|April 1, 2025
PubMed
Summary

Medication overuse headache (MOH) is linked to significant gray matter changes in the brain, including increased amounts in the cerebellum and reduced amounts in frontal regions. These findings offer insights into MOH

Keywords:
MRIgray matterneuroimagers meta-analysisneuroimagingvoxel-based morphometryMedication overuse headache

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Area of Science:

  • Neuroimaging and Neurology
  • Brain Structure and Function

Background:

  • Medication overuse headache (MOH) is a secondary headache disorder.
  • Chronic pain medication use causes significant brain alterations in MOH.
  • Previous studies on gray matter (GM) changes in MOH show inconsistent results.

Purpose of the Study:

  • To conduct a comprehensive meta-analysis of voxel-based morphometry (VBM) neuroimaging studies on MOH.
  • To synthesize findings on whole-brain gray matter alterations in MOH patients.

Main Methods:

  • Systematic review and meta-analysis of 8 VBM studies.
  • Inclusion of 378 participants (191 MOH patients, 187 healthy controls).
  • Utilized activation likelihood estimation (ALE) and Anisotropic effect size-signed differential mapping (AES-SDM) for GM analysis.

Main Results:

  • MOH patients exhibited increased GM in the cerebellar vermis, left red nuclei, and right medial dorsal nuclei.
  • MOH patients showed reduced GM in left superior/inferior frontal gyri, right precunei, and bilateral middle frontal gyri.
  • Clinical variables like headache duration and frequency correlated with GM alterations.

Conclusions:

  • Significant GM alterations observed in brain regions involved in pain processing and reward in MOH.
  • Findings enhance understanding of MOH neural mechanisms and potential therapeutic targets.
  • Further research is needed to explore GM changes as potential biomarkers for MOH diagnosis and treatment.