𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Responsiveness of the somatosensory system after nerve injury and amputation in the human hand

✍ Scribed by Dr. W. Schady; S. Braune; S. Watson; H. E. Torebjörk; R. Schmidt


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
734 KB
Volume
36
Category
Article
ISSN
0364-5134

No coin nor oath required. For personal study only.

✦ Synopsis


We studied the responsiveness of the somatosensory system in humans after prolonged deprivation of peripheral input. Eight patients with traumatic transection of the median or ulnar nerve and 6 patients with amputation of a finger or hand underwent microneurography and intraneural stimulation. Bundles of nerve fibers were electrically stimulated through a microelectrode placed in the affected nerve proximally to the site of damage or in the case of amputees, in a nerve fascicle supplying the stump. During intraneural stimulation the subjects with nerve injuries reported distinct percepts in the hypoesthetic skin. Their projections were usually confined to the territory of a single or two adjacent palmar digital nerves, similar to the fascicular territories of healthy nerves in control subjects, but there was much less microneurographically recordable afferent activity than in normal subjects. In amputees intraneural stimulation evoked sensations in a phantom digit or digits in over three fourths of the fascicles studied. We conclude that (1) the somatosensory system remains able to process information from a nerve fascicle that has lost its cutaneous territory, and (2) somatosensory localization remains accurate despite the presumed central reorganization that takes place after nerve division or amputation. This lack of functional adaptation has important implications with regard to our understanding of human central nervous system plasticity.


📜 SIMILAR VOLUMES


Fibronectin/integrin system is involved
✍ Makoto Tsuda; Emika Toyomitsu; Takayuki Komatsu; Takahiro Masuda; Emiko Kunifusa 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 277 KB

We have previously shown that activation of the ATP-gated ion channel subtype P2X 4 receptors (P2X 4 Rs) in the spinal cord, the expression of which is upregulated in microglia after nerve injury, is necessary for producing neuropathic pain. The upregulation of P2X 4 Rs in microglia is, therefore, a

Role of nerve growth factor in the adult
✍ Keith M. Rich; Henry K. Yip; Patricia A. Osborne; Robert E. Schmidt; Eugene M. J 📂 Article 📅 1984 🏛 John Wiley and Sons 🌐 English ⚖ 1000 KB

## Abstract The response of dorsal root ganglia (DRG) neurons to NGF deprivation and to axotomy was examined in adult guinea pigs. The success of NGF deprivation by means of an autoimmune approach was monitored by the measurement of serum antibody titer levels against guinea pig NGF with the standa