WOBIB: 118 - Paulson, et al. (1998) Gender differences i ...
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P. E. Paulson; S. Minoshima; T. J. Morrow; K. L. Casey. Gender differences in pain perception and patterns of cerebral activation during noxious heat stimulation in humans. Pain 76(1-2):223-9, 1998. PMID: 9696477. WOBIB: 118.

The purpose of the present study was to determine whether gender differences exist in the forebrain cerebral activation patterns of the brain during pain perception. Accordingly, positron emission tomography (PET) with intravenous injection of H2(15)O was used to detect increases in regional cerebral blood flow (rCBF) in normal right-handed male and female subjects as they discriminated differences in the intensity of innocuous and noxious heat stimuli applied to the left forearm. Each subject was instructed in magnitude estimation based on a scale for which 0 indicated 'no heat sensation'; 7, 'just barely painful' and 10, 'just barely tolerable'. Thermal stimuli were 40 degrees C or 50 degrees C heat, applied with a thermode as repetitive 5-s contacts to the volar forearm. Both male and female subjects rated the 40 degrees C stimuli as warm but not painful and the 50 degrees C stimuli as painful but females rated the 50 degrees C stimuli as significantly more intense than did the males (P=0.0052). Both genders showed a bilateral activation of premotor cortex in addition to the activation of a number of contralateral structures, including the posterior insula, anterior cingulate cortex and the cerebellar vermis, during heat pain. However, females had significantly greater activation of the contralateral prefrontal cortex when compared to the males by direct image subtraction. Volume of interest comparison (t-statistic) also suggested greater activation of the contralateral insula and thalamus in the females (P < 0.05). These pain-related differences in brain activation may be attributed to gender, perceived pain intensity, or to both factors.

Asymmetry: -0.63841 (left: -1, right: +1)

VRML2 file (118 Kb)

1 Heat pain - male. 50 degrees heat pain on the left forearm of males versus 40 degrees stimulus. WOEXP: 367.
2 Heat pain - female. 50 degrees heat pain on the left forearm of females versus 40 degrees stimulus. WOEXP: 368.

corner cube of WOBIB_118

Related - positive correlated volumes

+1: 1.00000 P. E. Paulson; S. Minoshima; T. J. Morrow; K. L. Casey. Gender differences in pain perception and patterns of cerebral activation during noxious heat stimulation in humans. Pain 76(1-2):223-9, 1998. PMID: 9696477. WOBIB: 118.

+2: 0.76998 K. L. Casey; T. J. Morrow; J. Lorenz; S. Minoshima. Temporal and spatial dynamics of human forebrain activity during heat pain: analysis by positron emission tomography. Journal of Neurophysiology 85(2):951-9, 2001. PMID: 11160525. WOBIB: 95.

+3: 0.76695 K. L. Casey; S. Minoshima; T. J. Morrow; R. A. Koeppe. Comparison of human cerebral activation pattern during cutaneous warmth, heat pain, and deep cold pain. Journal of Neurophysiology 76(1):571-81, 1996. PMID: 8836245. WOBIB: 102.

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