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- W2068860131 abstract "VEN though the origin, transmission and pathways of pain have intrigued physicians for centuries, no single theory remains unchallenged. There is considerable evidence tha t many types of stimuli can be painful, even in normal individuals, and tha t in m a n y pathologic states minor innocuous stimuli may evoke pain. Sensory impulses are brought in through A-beta, A-gamma, A-delta and 'C ' fibers, components of somatic peripheral nerves which can be separated both by size and by conduction velocity. There is ample evidence tha t each of these groups of fibers may be act ivated by m a n y types of physiological stimuli, including touch, heat, cold, vibration, etc. On the o ther hand, there is no proof tha t any part icular physiologically activated impulse is destined to reach consciousness. 4,5,12 Al though ideally it would be best to s tudy each type of physiological stimulus in human subjects with simultaneous nerve monitoring, this is impractical. The only study which has clear-cut results is that of Collins, Nulsen and R a n d t 4 who evaluated patient response to electrically induced A-beta, A-betagamma, A-beta-gamma-delta, or isolated ' C ' stimulation. They have demonstrated t h a t in normal individuals suffering from cancer pain, there is no pain from beta stimulation, even when this is repetitive. Ins tead, pain first appears when single stimuli act ivate gamma-delta fibers. When isola ted 'C ' fibers are stimulated, a single stimulus does not induce pain but repetitive stimuli are excruciatingly painful. 5 These facts then must be accommodated by any theory of pain conduction or transmission. I n a t t empt ing further to clarify pain percep-" @default.
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- W2068860131 date "1966-04-01" @default.
- W2068860131 modified "2023-09-26" @default.
- W2068860131 title "Physiological Evidence of Bilateral Spinal Projections of Pain Fibers in Cats and Monkeys" @default.
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- W2068860131 doi "https://doi.org/10.3171/jns.1966.24.4.0708" @default.
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