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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 118 (1998), S. 431-434 
    ISSN: 1432-1106
    Keywords: Key words Lidocaine ; Dorsal horn neurons ; Nociception ; Receptive field ; Spinal cord
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The effect of intravenous administration of the local anaesthetic lidocaine (1, 3 or 5 mg/kg) on the responsiveness and size of the cutaneous receptive fields of 18 lumbar dorsal horn neurons was examined in intact urethane-anaesthetized rats. Lidocaine induced expansion of the receptive field in the majority of neurons examined, particularly after the two higher doses. The expansion occurred usually within 10 min after lidocaine injection and the effect was reversible. Lidocaine also altered the responsiveness of dorsal horn neurons to peripheral mechanical stimulation. The responses of wide-dynamic-range neurons to noxious pinch were usually inhibited by lidocaine. However, some low-threshold neurons started to react to noxious mechanical stimulation and some high-threshold neurons started to respond to innocuous brushing after lidocaine injection. The present results show that moderate doses of systemic lidocaine induce complex changes in the excitability of dorsal horn neurons, including an increase in the size of the receptive field and altered response characteristics to mechanical stimulation.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 124 (1993), S. 19-22 
    ISSN: 0942-0940
    Keywords: Nociceptive pain ; deafferentation pain ; thalamic neurostimulation ; thalamotomy ; stereotaxy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Thalamotomy and electrical stimulation of a thalamic target as treatment for persistent pain are discussed. Thalamotomy is only rarely performed these days according to a questionnaire, given to some colleagues, about the type and the number of operations they performed in the years 1984, 1985 and 1986. The need for stimulation in the periventricular or periaqueductal grey for nociceptive pain is decreasing due to the advent of intraspinal and intraventricular administration of opioids. Nowadays medial and lateral ventro-posterior thalamic nuclei are frequently stimulated for treatment of deafferentation pain. Of 36 patients with deafferentation pain, 22 initially had benefit from this stimulation, but long-term success was only achieved in 11 (30%) of them. It was a general trend that the patients with an initial high pain relief score obtained the best long-term results.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1106
    Keywords: Hyperalgesia ; Peripheral neuropathy ; Nerve histopathology ; Neuropathic pain ; Unmyelinated fibre ; Rat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A mononeuropathy, produced by ligation of the sciatic nerve in rats, has recently been proposed as an animal model of experimental pain and pain-related disorders (hyperalgesia and allodynia). We investigated quantitatively the morphological changes in myelinated and unmyelinated fibres of the sciatic nerves 2 weeks after ligation in rats exhibiting allodynia to thermal stimulation. There was a marked reduction in the number of large myelinated fibres distal to the ligature (711 ± 34 compared with 5315 ± 230 in normal nerves). We also found a significant loss of small myelinated fibres (2429 ± 109 compared with 3197 ± 308 in normal nerves), the remaining fibres of this type showing pathological properties. Finally, ultrastructural evidence of damage to unmyelinated fibres was found. The typical pattern of large clusters of normal unmyelinated axons was no longer present within most regions of the nerve. There was a significant reduction in the size of the unmyelinated fibres (0.41 μm ± 0.15 compared with 0.71 μm ± 0.08 in normal nerves), together with a twofold increase in their number per cluster. Hypotheses about the mechanism of thermal allodynia in this pain model therefore must take into account the fact that all fibre classes show pathological changes.
    Type of Medium: Electronic Resource
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