Spinothalamic Tract

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William D Willis - One of the best experts on this subject based on the ideXlab platform.

Robert D Foreman - One of the best experts on this subject based on the ideXlab platform.

Margaret J Chandler - One of the best experts on this subject based on the ideXlab platform.

Sung Ho Jang - One of the best experts on this subject based on the ideXlab platform.

  • central pain due to injury of the Spinothalamic Tract misdiagnosed as complex regional pain syndrome a case report
    Diagnostics (Basel Switzerland), 2019
    Co-Authors: Sung Ho Jang, Young Hyeon Kwon
    Abstract:

    Objectives: We report on a patient with whiplash injury who had central pain, due to injury of the Spinothalamic Tract (STT), but who was misdiagnosed as complex regional pain syndrome (CRPS). Case description: While a minivan in which a 43-year-old female was seated in the passenger seat was stopped for a signal, a truck collided with the minivan from behind, and the minivan then repeatedly collided with trucks in front and behind the minivan. Her head repeatedly struck the minivan seat resulting in whiplash injuries. After onset, she felt pain in both legs with mild motor weakness in all four extremities and memory impairment. Eight years after onset, she was diagnosed at a university hospital as CRPS type 1 with the clinical features of hyperalgesia and mild edema and motor weakness of both legs. She visited another university hospital nine years after onset and complained of pain in the right arm and both legs, constant tingling and burning pain along with allodynia and hyperalgesia. She also showed mild weakness in the four extremities, mild edema of both legs, and memory impairment. On diffusion tensor Tractography (DTT), the left Spinothalamic Tract (STT) showed marked narrowing, and the right STT revealed mild narrowing and partial tearing. In addition, partial tears were observed in both corticospinal Tracts and the right corticoreticulospinal Tract. Discontinuations were observed in the left corticoreticulospinal Tract and the left fornical crus. Conclusion: Injury of the STT was demonstrated on DTT in a patient with central pain following whiplash injury. Previously, the patient was misdiagnosed as CRPS.

  • diffusion tensor Tractography studies of central post stroke pain due to the Spinothalamic Tract injury a mini review
    Frontiers in Neurology, 2019
    Co-Authors: Sung Ho Jang
    Abstract:

    Elucidation of the pathophysiological mechanism of central post-stroke pain (CPSP) is essential to the development of effective therapeutic modalities for CPSP. However, the pathophysiological mechanism of CPSP has not yet been clearly elucidated. The recent development of diffusion tensor Tractography (DTT) derived from diffusion tensor imaging (DTI) has allowed visualization and estimation the Spinothalamic Tract (STT), which has been considered the most plausible neural Tract responsible for pathogenesis of CPSP. In this mini-review, six DTT studies in which CPSP due to STT injury in stroke patients was demonstrated are reviewed. The information provided in the reviewed studies suggests that DTT is useful to elucidation of the pathophysiological mechanism associated with CPSP. We believe that the reviewed studies will facilitate neurorehabilitation of stroke patients with CPSP. However, DTT studies of CPSP are still in the beginning stage because the total number (six studies) of the reviewed studies is very short and half were case reports. Therefore, further studies involving large numbers of subjects are warranted.

  • Delayed-onset central poststroke pain due to degeneration of the Spinothalamic Tract following thalamic hemorrhage: A case report.
    Medicine, 2018
    Co-Authors: Sung Ho Jang
    Abstract:

    Rationale: Recent studies have used diffusion tensor Tractography (DTT) to demonstrate that central poststroke pain (CPSP) was related to Spinothalamic Tract (STT) injury in patients with stroke. However, few studies have been reported about delayed-onset CPSP due to degeneration of the STT following a stroke.

  • central pain due to Spinothalamic Tract injury caused by indirect head trauma following a pratfall
    Brain Injury, 2016
    Co-Authors: Sung Ho Jang
    Abstract:

    AbsTractObjectives: This study reports on patients who showed central pain due to injury of the Spinothalamic Tract (STT) caused by fall without direct head trauma.Design: Prospective study.Participants: Two patients with mild traumatic brain injury (TBI) resulting from a fall were enrolled. Patient 1 was a 21-year-old female who had suffered a pratfall with no history of direct head trauma. She had begun to feel pain in both upper trunk and lower back and the left leg since ~ 5 days after onset: constant tingling and throbbing sensation with allodynia. Patient 2 was a 39-year-old male who had suffered a pratfall without direct head trauma. He had begun to feel pain in both arms and legs since ~ 4 days after the fall: constant tingling and pricking sensation without allodynia or hyperalgesia.Results: On diffusion tensor Tractograhpy (DTT) of patient 1, partial tearing of the right STT was observed at the subcortical white matter. On DTT of patient 2, partial tearing at the subcortical white matter was obs...

  • degeneration of an injured Spinothalamic Tract in a patient with mild traumatic brain injury
    Brain Injury, 2016
    Co-Authors: Sung Ho Jang, Hyeok Gyu Kwon
    Abstract:

    AbsTractObjectives: This study reports on a patient who developed degeneration of an injured Spinothalamic Tract (STT) detected on diffusion tensor Tractography (DTT) following mild traumatic brain injury (TBI).Case description: A 56-year-old female had suffered from head trauma resulting from a pedestrian car accident. The patient did not experience loss of consciousness or post-traumatic amnesia and the patient’s Glasgow Coma Scale score was 15. She had begun to feel pain in her left hand and foot at ~ 7 days after onset. The characteristics and severity of pain were as follows: constant tingling and pricking sensation without allodynia or hyperalgesia (Visual Analogue Scale score: 3~4). No specific focal lesion was observed on brain and spine MRI and an electromyography study showed no evidence of peripheral nerve injury or radiculopathy. At 6 months after onset, the central pain in the left hand and foot became aggravated, with a Visual Analogue Scale score of 6.Results: On 1-month DTT, partial tearin...

Jing Wu - One of the best experts on this subject based on the ideXlab platform.