Key result
Patients with post-herpetic neuralgia exhibited significantly higher resting-state EEG gamma band power (40-70 Hz) compared to healthy controls (Cohen's d 0.79, p < 0.05).
Cross-Sectional (n=28)
No
Standardized Mean Difference: 0.79
p-value: p=<0.05
Enhanced gamma oscillatory activity in the prefrontal cortex and cerebellum may serve as a characteristic marker in chronic neuropathic pain patients.
Elevated gamma may signal chronic pain mechanisms in PHN; leaves open biomarker or therapeutic targeting pending controlled trials.
In acute and ongoing pain, the spontaneous oscillatory activity of electroencephalogram (EEG) has been characterized by suppression of alpha band oscillations and enhancement of gamma band oscillations. In pathological chronic pain which is more severe and common in clinic practice, it is of great interest to investigate the oscillatory activity especially at the broad gamma frequency bands. Our present study explored the resting state oscillatory activities of EEG in patients with post-herpetic neuralgia (PHN) over 3 months which is a typical neuropathic pain model in clinical researches. It was found that the PHN patients showed anxiety and depression revealed by Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) examinations. Power spectrum analysis revealed that the power at gamma frequency band (from 40 to 70 Hz) of EEG was significantly higher in the PHN patients, and positively correlated with pain intensity, anxiety, and depression indexes. Further, increased gamma activity derived from the prefrontal cortex and the cerebellum were revealed by cluster-based sensor level and the beamforming source level analyses. These results suggest the enhanced gamma oscillatory activity in the prefrontal cortex and cerebellum is a characteristic marker in chronic neuropathic pain patients.
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Zhou et al. (2018) conducted a cross-sectional in Post-herpetic neuralgia (n=28). Post-herpetic neuralgia vs. Healthy controls was evaluated on Power at gamma frequency band (40-70 Hz) of EEG (Cohen's d 0.79, p=<0.05). Patients with post-herpetic neuralgia exhibited significantly higher resting-state EEG gamma band power (40-70 Hz) compared to healthy controls (Cohen's d 0.79, p < 0.05).
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