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A basic research on orofacial pain originating from cervical structure: Referred pain

Research Project

Project/Area Number 16592025
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionNihon University

Principal Investigator

IMAMURA Yoshiki  Nihon University, School of Dentistry, Professor, 歯学部, 教授 (90176503)

Co-Investigator(Kenkyū-buntansha) IWATA Koichi  Nihon University, School of Dentistry, Professor, 歯学部, 教授 (60160115)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 2006: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2005: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2004: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsTrigeminal Nerve / Cervical Nerve / Referred Pain / Spinal Trigeminal Nucleus / Upper Cervical Spine / Sympathetic Nerve / Fos-like Immunoreactivity / Convergence / ニューロパチー / 感作 / 口腔顔面痛 / 頸部疾患 / カプサイシン / ボンフレイ / C-fos
Research Abstract

Patients occasionally present with a complaint of orofacial pain originating from cervical structures. The mechanisms of orofacial pain with cervical origin are not well known. We studied the etiology of this type of pain on a cervical nerve injury model. 6 SD rats underwent two ligation s on C2-C5 cervical nerves followed by section between them (CN group). 6 SD rats received sham-operation (SO group). Another 6 rats received cervical sympathectomy before nerve injury (SE group). Escape behavior was observed before and after operation (POD14) in all rats. Expression of fos-like immunoreactive protein in cells (Fos-LI cells) was observed with tactile stimulation on ipsilateral preauricular skin on POD14. The results were as follows. 1. Cervical nerve injury resulted in allodynia in trigeminal territory. 2. Fos-LI cell expression was observed not only Vi/Vc and Vc/C levels but also middle Vc and C3. 3. Cervical sympathectomy led to no significant behavioral changes. 4. Sympathectomy resulted in significant expression of Fos-LI cells Vi/Vc and Vc/C levels. These results revealed that cervical nerve injury may elicit hypersensitization of secondary neurons in wide area from Vi/Vc to upper cervical spine. This central sensitization may be due to convergence of the trigeminal nerve and cervical nerves. Cervical sympathectomy may modulate signal transduction in nociceptive neurons in uppercervical spine.

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (16 results)

All 2006 2005 2004

All Journal Article (15 results) Book (1 results)

  • [Journal Article] Differential responses of rostral subnucleus caudalis and upper cervical dorsal horn neurons to mechanical and chemical stimulation of the parotid gland in rats2006

    • Author(s)
      Ogawa A
    • Journal Title

      Brain Res. 1106(1)

      Pages: 123-133

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Cervical plexus block helps in diagnosis of orofacial pain originating from cervical Structures.2006

    • Author(s)
      Shinozaki T
    • Journal Title

      Tohoku J Exp Med 210(1)

      Pages: 41-47

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Differential responses of rostral subnucleus caudalis and upper cervical dorsal horn neurons to mechanical and chemical stimulation of the parotid gland in rats.2006

    • Author(s)
      Ogawa A, Meng ID, Ren K, Imamura Y, Iwata K.
    • Journal Title

      Brain Res. 1106(1)

      Pages: 123-33

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Cervical plexus block helps in diagnosis of orofacial pain originating from cervical Structures.2006

    • Author(s)
      Shinozaki T, Sakamoto E, Shiiba S, Ichikawa F, Arakawa Y, Makihara Y, Abe S, Ogawa A, Tsuboi E, Imamura Y.
    • Journal Title

      Tohoku J Exp Med 210(1)

      Pages: 41-7

    • NAID

      10019283672

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Cervical plexus block helps in diagnosis of orofacial pain originating from cervical structures.2006

    • Author(s)
      Shinozaki T, Sakamoto E, Shiba S, Ichikawa F, Arakawa Y, Makihara Y, Abe S, Ogawa A, Tsuboi E, Imamura Y
    • Journal Title

      Tohoku Journal of Experimental Medicine 210・1

      Pages: 41-47

    • NAID

      10019283672

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Differential responses of rostral subnucleus caudalis and upper cervical dorsal horn neurons to mechanical and chemical stimulation of the parotid gland in rats.2006

    • Author(s)
      Ogawa A, Meng ID, Ren K, Imamura Y, Iwata K.
    • Journal Title

      Brain Research 1106・1

      Pages: 123-133

    • Related Report
      2006 Annual Research Report
  • [Journal Article] II脊髄神経ブロック 18.歯科的神経ブロック.2006

    • Author(s)
      本田和也, 今村佳樹
    • Journal Title

      ペインクリニック 27

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 鎮痛剤の効かない痛みをどのようにとらえるか<その1> 三叉神経領域に発症する難治性異常疼痛の神経機構2006

    • Author(s)
      岩田幸一, 今村佳樹
    • Journal Title

      日本歯科医師会雑誌 59・7

      Pages: 621-629

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 鎮痛剤の効かない痛みをどのようにとらえるか<その2> 臨床医に必要な知識と対応2006

    • Author(s)
      今村佳樹, 岩田幸一
    • Journal Title

      日本歯科医師会雑誌 59・7

      Pages: 723-733

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 歯科領域におけるペイン治療の臨床2006

    • Author(s)
      今村佳樹
    • Journal Title

      日本歯科医師会雑誌 59・12

      Pages: 1211-1214

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 口腔顔面領域における神経因性疼痛2005

    • Author(s)
      今村佳樹
    • Journal Title

      ペインクリニック 26(8)

      Pages: 1097-1103

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 頸部疾患に由来する口腔顔面痛の検討2004

    • Author(s)
      今村佳樹
    • Journal Title

      日本ペインクリニック学会雑誌 11(1)

      Pages: 16-19

    • NAID

      10011998389

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] A Clinical Approach to Neuropathic Pain and Deep Somatic Pain in the Trigeminal System.2004

    • Author(s)
      Imamura Y
    • Journal Title

      Journal of Japan Society of Clinical Anesthesia 24(1)

      Pages: 60-62

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] A clinical study on orofacial pain originating from cervical structures (in Japanese).2004

    • Author(s)
      Imamura Y, Shiiba S, Sakamoto E, Nakanishi O.
    • Journal Title

      Journal of Japanese Society of Pain Clinicians 11(1)

      Pages: 16-19

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] A Clinical Approach to Neuropathic Pain and Deep Somatic Pain in the Trigeminal System.2004

    • Author(s)
      Imamura Y, Sakamoto E, Shiiba S, Nakanishi O.
    • Journal Title

      Journal of Japan Society of Clinical Anesthesia 24(1)

      Pages: 60-62

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Book] ペインクリニック診断治療ガイド第三版(大瀬戸清茂編)2005

    • Author(s)
      今村佳樹(共著)
    • Total Pages
      406
    • Publisher
      日本醫事新報社
    • Related Report
      2005 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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