Influence of pain on cognitive dysfunction and emotion dysregulation in Chiari malformation Type I

Abstract.

Conceptual biopsychosocial model of pain and consequence on the quality of life. Chronic pain has reciprocal relationships with biological, psychological, and social function, which have evocative interactions on each other and on health-related quality of life. Figure inspired by Dueñas and colleagues.

It has been well demonstrated that the cerebellum is associated with cognitive and affective processing as well as the traditionally conceptualized motor function. In the present chapter, we explore the behavioral and neurobiological implications of a common congenital cerebellar condition, Chiari malformation Type I, on cognitive and affective processing. We also emphasize the associations between Chiari-related chronic pain, cognitive dysfunction, and emotion dysregulation. Based on our review of the literature, we argue that chronic pain can account for a substantial amount of the cognitive dysfunction and emotion dysregulation in Chiari malformation Type I. Yet, there also exists aspects of Chiari-related cognitive dysfunction and emotion dysregulation that appear to be at least partially independent of chronic pain and more directly associated with abnormalities in CSF flow dynamics and cerebro-cerebellar communication pathways.

Contributors.

James R. Houston, Jahangir Maleki, Francis Loth, Petra M. Klinge, & Philip A. Allen

Publication.

Cerebellum and Emotion, a volume of Advances in Experimental Medicine and Biology