Gomez-Arguelles J M, Maestu-Unturbe C, Gomez-Aguilera E J
Hospital Quiron Madrid, Madrid, Espana.
Universidad Politecnica de Madrid, Madrid, Espana.
Rev Neurol. 2018 Nov 16;67(10):394-402.
Most current research suggests that fibromyalgia is a disease produced by an alteration in the processing of pain signals in the central nervous system. In recent years, advances in non- or minimally-invasive brain imaging techniques have made it possible to discover how different areas of the nervous system are involved in the aetiopathogenesis of diseases that up until now have been considered as having a functional profile.
To describe the objectified functional and the structural changes that take place in the brains of patients with fibro-myalgia by means of the currently available neuroimaging techniques.
This work reviews the clinical studies, both anatomical and molecular, that have been conducted to date in the field of fibromyalgia using different brain imaging techniques.
Different, but related, areas of the central nervous system have been described as altering not only the functional but also the structural form, in patients with fibromyalgia. These involved areas extend beyond the pain circuits, which would explain the variety of symptoms in patients, in addition to the characteristic pain reported by them.
目前大多数研究表明,纤维肌痛是一种由中枢神经系统疼痛信号处理改变所引发的疾病。近年来,非侵入性或微创性脑成像技术的进展使得发现神经系统的不同区域如何参与到迄今为止被认为具有功能性特征的疾病的病因发病机制中成为可能。
借助目前可用的神经成像技术描述纤维肌痛患者大脑中发生的客观功能性和结构性变化。
这项工作回顾了迄今为止在纤维肌痛领域使用不同脑成像技术进行的临床研究,包括解剖学和分子学研究。
在纤维肌痛患者中,中枢神经系统的不同但相关的区域不仅在功能上而且在结构形式上都发生了改变。这些涉及的区域超出了疼痛回路,这除了解释患者报告的特征性疼痛外,还能解释患者症状的多样性。