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Motivational Behavioral and Functional MRI Impairment in Patients With Chronic Neuropathic Pain

Not yet recruiting
Conditions
Chronic Pain
Interventions
Other: reward learning task
Registration Number
NCT05701852
Lead Sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Brief Summary

The main hypothesis of this study is that the alteration of the reward circuitry underlying the motivational deficit in chronic pain patients compared to healthy subjects results in a decrease in the capacity for reward learning. The fMRI studies have shown that this type of learning depends on the dopaminergic system innervating key regions of the reward system.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  • For cases: patients managed in the neurosurgery department or at CETD for chronic neuropathic pain, of central or peripheral origin.
  • For controls: matched to a case on age (±5 years) and sex
Exclusion Criteria
  • Neurodegenerative or inflammatory neurological pathology
  • Clinical depressive syndrome
  • High doses of opioid treatment (greater than 100 mg/day of morphine equivalent)
  • Impaired judgment or inability to receive information that does not allow the performance of behavioral tasks
  • Absolute contraindication to MRI (e.g. pacemaker, implantable pacemaker, metallic intra-orbital foreign body)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
cases : patients with chronic painreward learning task-
controlsreward learning task-
Primary Outcome Measures
NameTimeMethod
To compare reward learning ability in patients with chronic neuropathic pain compared with an age (±5 years) and gender-matched control populationDay 0

the reward learning ability will be assessed using a specific task. The result of the task questionnaire is a numeric score.

Secondary Outcome Measures
NameTimeMethod
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