Abstract
The hypothesis is presented that central pain is due to the disruption of thermosensory integration and the loss of cold inhibition of burning pain. This is a new variation on the thalamic disinhibition hypothesis originally proposed by H. Head and G. Holmes in 1911 (Brain 34:102-254). The thermal grill illusion of pain provides a model for this concept. Functional anatomic substrates are described that provide a sound framework for the hypothesis. Predictions are made and unresolved issues are addressed that provide opportunities to test this hypothesis.
Original language | English (US) |
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Pages (from-to) | 1-28 |
Number of pages | 28 |
Journal | Pain Forum |
Volume | 7 |
Issue number | 1 |
State | Published - 1998 |
Externally published | Yes |
Keywords
- Cingulate
- Insula
- Pain
- Thalamus
- Thermoreception
ASJC Scopus subject areas
- Neuroscience(all)
- Clinical Neurology
- Anesthesiology and Pain Medicine