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Abstract #2682

DTI reveals altered structural connectivity of pain-associated regions in a genetic variant of small fiber neuropathy

Gerhard Drenthen1, Amir Far2, Catharina Faber2, Jaymin Upadhyay3, David Linden4, Raquel van Gool4, Walter Backes1, Janneke Hoeijmakers2, and Jacobus Jansen1
1Department of Radiology & Nuclear Medicine, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, Netherlands, 2Department of Neurology, Maastricht University Medical Center, Maastricht, Netherlands, 3Boston Children's Hospital, Boston, MA, United States, 4School for Mental Health & Neuroscience, Maastricht University Medical Center, Maastricht, Netherlands

Synopsis

Keywords: Brain Connectivity, Diffusion Tensor Imaging, Chornic painPatients with small fiber neuropathy (SFN) suffer from chronic pain, which may lead to cerebral changes. Here, we studied structural network changes in idiopathic- and genetic-SFN compared to controls using diffusion-MRI. We found that for the genetic-SFN group pain-associated regions take a more prominent place in the network (in terms of nodal importance). Furthermore, in the genetic-SFN group, a higher nodal importance of pain-associated regions related to lower self-reported pain. This shows that genetic-SFN has a distinct structural pain pathway, which may be indicative of a compensatory mechanism where the structural organization is altered to inhibit the response to pain.

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