Advances and technical standards in neurosurgery. / Vol. 37 by J D Pickard; et al

By J D Pickard; et al

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Brain responses to pain . . . . . . . . . . . . . . . . . . . . . . . . J. D. Pickard et al. ), Advances and Technical Standards in Neurosurgery © Springer-Verlag/Wien 2011 26 27 27 27 27 28 29 30 31 31 32 35 35 36 42 42 42 42 43 26 J. MAARRAWI et al. Opioid receptor studies using PET . . . . . . . . . . . . . . . . . . . . Opioid receptor availability changes in neuropathic pain . . . . . . . . Effects of analgesic motor cortex stimulation on brain opioid receptor availability .

Abbreviations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The lower limb flexion reflex . . . . . . . . . . . . . . . . . . . . . . . . General considerations . . . . . . . . . . . . . . . . . . . . . .

2. SEPs to non-noxious electrical stimulation of the median nerve in a patient complaining of right upper limb pain following a minor car accident. SEPs to median nerve stimulation demonstrate normal plexus response in both sides (upper marks), while the dorsal horn and brain stem responses (2nd and 3rd marks) are abnormal following stimulation of the right side. The cortical response (bottom) is significantly attenuated and delayed to right-side stimulation. This provides evidence of axonal loss and transmission delay between the dorsal root ganglion and the root entry zone, at the C6–C7 levels in the right side.

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