Central pain after pontine infarction is associated with changes in opioid receptor binding: A PET study with 11C-diprenorphine

Frode Willoch, Thomas Rudolf Tölle, Hans Jürgen Wester, Frank Munz, Axel Petzold, Markus Schwaiger, Bastian Conrad, Peter Bartenstein

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

Abstract

Using 18F-fluorodeoxyglucose and 11C-diprenorphine positron emission tomography (PET), we investigated alterations in glucose metabolism and opioid receptor binding in a patient with central poststroke pain, which developed after a small pontine hemorrhagic infarction. In comparison with normal databases, reduced 11C-diprenorphine binding was more accentuated than the hypometabolism on the lateral cortical surface contralateral to the symptoms, and a differential abnormal distribution between the tracers was seen in pain-related central structures. These results show that 11C- diprenorphine PET provides unique information for the understanding of central poststroke pain.

Original languageEnglish
Pages (from-to)686-690
Number of pages5
JournalAmerican Journal of Neuroradiology
Volume20
Issue number4
StatePublished - 1999

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