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J Neurophysiol 101: 3258-3269, 2009. First published April 1, 2009; doi:10.1152/jn.91181.2008
0022-3077/09 $8.00
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Nociceptive Laser-Evoked Brain Potentials Do Not Reflect Nociceptive-Specific Neural Activity

A. Mouraux1 and G. D. Iannetti2

1Departments of Clinical Neurology and 2Physiology, Anatomy, and Genetics, University of Oxford, Oxford, United Kingdom

Submitted 2 November 2008; accepted in final form 27 March 2009

Brief radiant laser pulses can be used to activate cutaneous A{delta} and C nociceptors selectively and elicit a number of transient brain responses [laser-evoked potentials (LEPs)] in the ongoing EEG. LEPs have been used extensively in the past 30 years to gain knowledge about the cortical mechanisms underlying nociception and pain in humans, by assuming that they reflect at least neural activities uniquely or preferentially involved in processing nociceptive input. Here, by applying a novel blind source separation algorithm (probabilistic independent component analysis) to 124-channel event-related potentials elicited by a random sequence of nociceptive and non-nociceptive somatosensory, auditory, and visual stimuli, we provide compelling evidence that this assumption is incorrect: LEPs do not reflect nociceptive-specific neural activity. Indeed, our results indicate that LEPs can be entirely explained by a combination of multimodal neural activities (i.e., activities also elicited by stimuli of other sensory modalities) and somatosensory-specific, but not nociceptive-specific, neural activities (i.e., activities elicited by both nociceptive and non-nociceptive somatosensory stimuli). Regardless of the sensory modality of the eliciting stimulus, the magnitude of multimodal activities correlated with the subjective rating of saliency, suggesting that these multimodal activities are involved in stimulus-triggered mechanisms of arousal or attentional reorientation.


Address for reprint requests and other correspondence: G. Iannetti, Dept. of Physiology, Anatomy, and Genetics, Univ. of Oxford, South Parks Rd., OX1 3QX Oxford, UK (E-mail: giandomenico.iannetti{at}dpag.ox.ac.uk)




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