Ramadan Bahrie, Van Waes Vincent
Université Marie et Louis Pasteur, INSERM, UMR 1322 LINC, F-25000 Besançon, France.
Neurophysiol Clin. 2025 Apr;55(2):103055. doi: 10.1016/j.neucli.2025.103055. Epub 2025 Jan 29.
Neuropathic pain is a global health concern due to its severity and its detrimental impact on patients' quality of life. It is primarily characterized by sensory alterations, most commonly hyperalgesia and allodynia. As the disease progresses, patients with neuropathic pain develop co-occurring emotional disorders, such as anxiety and depression, which further complicate therapeutic management. While pharmacotherapy remains the first-line treatment, limitations in its efficacy and the prevalence of side effects often leave patients with insufficient pain relief. Transcranial direct current stimulation (tDCS), a non-invasive brain stimulation technique, has recently emerged as a promising alternative for chronic pain management. This review provides an overview of preclinical studies examining the effects of tDCS in rodent models of neuropathic pain. It specifically highlights the potential of tDCS to modulate the emotional-affective component of pain, with a focus on identifying optimal cortical targets for stimulation to enhance the translational application of tDCS in managing pain-related emotional disorders.
神经病理性疼痛因其严重性及其对患者生活质量的有害影响而成为全球关注的健康问题。其主要特征是感觉改变,最常见的是痛觉过敏和异常性疼痛。随着疾病进展,神经病理性疼痛患者会并发情绪障碍,如焦虑和抑郁,这进一步使治疗管理复杂化。虽然药物治疗仍然是一线治疗方法,但其疗效的局限性和副作用的普遍性常常使患者的疼痛缓解不足。经颅直流电刺激(tDCS)是一种非侵入性脑刺激技术,最近已成为慢性疼痛管理的一种有前景的替代方法。本综述概述了在神经病理性疼痛啮齿动物模型中研究tDCS作用的临床前研究。它特别强调了tDCS调节疼痛的情绪情感成分的潜力,重点是确定最佳的皮质刺激靶点,以增强tDCS在管理疼痛相关情绪障碍中的转化应用。