Functional Neuroanatomy of Pain
Pain is an unpleasant but very important biological signal for danger. Nociception is necessary for survival and maintaining the integrity of the organism in a potentially hostile environment. Pain is both a sensory experience and a perceptual metaphor fo
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Editors F. F. Beck, Melbourne · B. Christ, Freiburg F. Clascá, Madrid · D. E. Haines, Jackson H.-W. Korf, Frankfurt · W. Kummer, Giessen E. Marani, Leiden · R. Putz, München Y. Sano, Kyoto · T. H. Schiebler, Würzburg K. Zilles, Düsseldorf
K.G. Usunoff · A. Popratiloff · O. Schmitt · A. Wree
Functional Neuroanatomy of Pain With 19 Figures
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Kamen G. Usunoff, MD Department of Anatomy and Histology Medical University – Sofia 2. Sv. G. Sofiiski ST. 1431 Sofia Bulgaria e-mail: [email protected] Anastas Popratiloff, MD Department of Anatomy and Cell Biology George Washington University Medical Center Washington, DC 20037 USA Oliver Schmitt, MD Andreas Wree, MD Institut für Anatomie Universität Rostock P.O. Box 100888 18055 Rostock Germany e-mail: [email protected]
ISSN 0301-5556 ISBN-10 3-540-28162-2 Springer Berlin Heidelberg New York ISBN-13 978-3-540-28162-7 Springer Berlin Heidelberg New York
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List of Contents
1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 2.1 2.2 2.3 2.3.1 2.4 2.4.1 2.4.2 2.4.3 2.5 2.6 2.7 2.8
Functional Neuroanatomy of the Pain System . . . . . . . . . . . . . . . . . Primary Afferent Neuron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution of Nociceptor Peripheral Endings . . . . . . . . . . . . . . . . . Termination in the Spinal Cord and Spinal Trigeminal Nucleus . . . . . Types of Terminals in Substantia Gelatinosa . . . . . . . . . . . . . . . . . . . Ascending Pathways of the Spinal Cord and
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