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Thalamic Syndrome Due to Cerebral Embolism in Rheumatic Heart Disease: Successful Treatment with Cortisone

Thalamic Syndrome Due to Cerebral Embolism in Rheumatic Heart Disease: Successful Treatment with... Abstract Since the pioneer work of Head and Holmes,1 the physiological and psychological aspects of central pain have been the subject of many studies. Central pain is of specific character: It is severe, it is of burning quality, it affects the whole personality and may cause changes in behavior, it is aggravated by emotional influences and sensory stimuli, and it is generally not alleviated by the usual analgetics. Frequently the pain does not leave the patient during the night and may be so severe as to lead to suicide. At times it is accompanied by vasomotor and trophic disturbances. In spite of numerous clinical and experimental investigations, complete understanding of the problem of central pain has not yet been achieved. Since the work of Dejerine and Roussy,2 the thalamus and its cerebral connections are held responsible for the central pain sensation. The mechanism by which damage to the thalamus References 1. Head, H., and Holmes, G.: Sensory Disturbances from Cerebral Lesions , Brain 34:102, 1911.Crossref 2. Dejerine, J., and Roussy, G.: Le Syndrome thalamique , Rev. neurol. 14:521, 1906. 3. Livingston, W. K.: Pain Mechanism: A Physiologic Interpretation of Causalgia and Related States , New York, The Macmillan Company, 1944. 4. Clark, W. E.: Structure and Connections of Thalamus , Brain 55:406, 1932.Crossref 5. Weddell, G.; Sinclair, D. C., and Feindel, W. H.: An Anatomical Basis for Alterations in Quality of Pain Sensibility , J. Neurophysiol. 11:99, 1948. 6. Garcin, R., and Lepresle, J.: Syndrome sensitif de type thalamique et a topographie cheiroorale par lesion localisée du thalamus , Rev. neurol. 90:124, 1954. 7. Strauss, H.: Über Sensibilitätsstörungen an Hand und Gesicht, Geschmacksstörungen und ihre lokalisatorische Bedeutung , Monatsschr. Psychiat. u. Neurol. 58:265, 1925.Crossref 8. Allen, E. V.; Barker, N. W., and Hines, E. A., Jr.: Peripheral Vascular Diseases , Ed. 2, Philadelphia, W. B. Saunders Company, 1955, p. 28. 9. Adson, A. W.: Surgical Treatment for Symptoms Produced By Cervical Ribs and the Scalenus Anticus Muscle , Surg. Gynec. & Obst. 85:687, 1947. 10. Russek, H. I.; Russek, A. S.; Doerner, A. A., and Zohman, B. L.: Cortisone in Treatment of Shoulder-Hand Syndrome Following Acute Myocardial Infarction , A. M. A. Arch. Int. Med. 91:487, 1953. 11. Wilson, S. A. K.: Dysæsthesiae and Their Neural Correlates , Brain 50:428, 1927. 12. Walker, A. E.: The Spinothalamic Tract in Man , Arch. Neurol. & Psychiat. 43:284, 1940. 13. Dejerine, J.: Semiologie des affections du système nerveux , Paris, Masson & Cie, 1926. 14. Gardener, E., and Cuneo, H. M.: Lateral Spinothalamic Tract and Associated Tracts in Man , Arch. Neurol. & Psychiat. 53:423, 1945. 15. Dusser de Barenne, J. G., and Sager, O.: Sensory Functions of Optic Thalamus of the Monkey (Macacus Rhesus): Symptomatology and Functional Localization Investigated with the Method of Local Strychninization , Arch. Neurol. & Psychiat. 38:913, 1937. 16. Foix, C., and Hillemand, P.: Irrigation de la couche optique , Compt. rend. Soc. biol. 92:52, 1925. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Thalamic Syndrome Due to Cerebral Embolism in Rheumatic Heart Disease: Successful Treatment with Cortisone

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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1957.00260060159011
Publisher site
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Abstract

Abstract Since the pioneer work of Head and Holmes,1 the physiological and psychological aspects of central pain have been the subject of many studies. Central pain is of specific character: It is severe, it is of burning quality, it affects the whole personality and may cause changes in behavior, it is aggravated by emotional influences and sensory stimuli, and it is generally not alleviated by the usual analgetics. Frequently the pain does not leave the patient during the night and may be so severe as to lead to suicide. At times it is accompanied by vasomotor and trophic disturbances. In spite of numerous clinical and experimental investigations, complete understanding of the problem of central pain has not yet been achieved. Since the work of Dejerine and Roussy,2 the thalamus and its cerebral connections are held responsible for the central pain sensation. The mechanism by which damage to the thalamus References 1. Head, H., and Holmes, G.: Sensory Disturbances from Cerebral Lesions , Brain 34:102, 1911.Crossref 2. Dejerine, J., and Roussy, G.: Le Syndrome thalamique , Rev. neurol. 14:521, 1906. 3. Livingston, W. K.: Pain Mechanism: A Physiologic Interpretation of Causalgia and Related States , New York, The Macmillan Company, 1944. 4. Clark, W. E.: Structure and Connections of Thalamus , Brain 55:406, 1932.Crossref 5. Weddell, G.; Sinclair, D. C., and Feindel, W. H.: An Anatomical Basis for Alterations in Quality of Pain Sensibility , J. Neurophysiol. 11:99, 1948. 6. Garcin, R., and Lepresle, J.: Syndrome sensitif de type thalamique et a topographie cheiroorale par lesion localisée du thalamus , Rev. neurol. 90:124, 1954. 7. Strauss, H.: Über Sensibilitätsstörungen an Hand und Gesicht, Geschmacksstörungen und ihre lokalisatorische Bedeutung , Monatsschr. Psychiat. u. Neurol. 58:265, 1925.Crossref 8. Allen, E. V.; Barker, N. W., and Hines, E. A., Jr.: Peripheral Vascular Diseases , Ed. 2, Philadelphia, W. B. Saunders Company, 1955, p. 28. 9. Adson, A. W.: Surgical Treatment for Symptoms Produced By Cervical Ribs and the Scalenus Anticus Muscle , Surg. Gynec. & Obst. 85:687, 1947. 10. Russek, H. I.; Russek, A. S.; Doerner, A. A., and Zohman, B. L.: Cortisone in Treatment of Shoulder-Hand Syndrome Following Acute Myocardial Infarction , A. M. A. Arch. Int. Med. 91:487, 1953. 11. Wilson, S. A. K.: Dysæsthesiae and Their Neural Correlates , Brain 50:428, 1927. 12. Walker, A. E.: The Spinothalamic Tract in Man , Arch. Neurol. & Psychiat. 43:284, 1940. 13. Dejerine, J.: Semiologie des affections du système nerveux , Paris, Masson & Cie, 1926. 14. Gardener, E., and Cuneo, H. M.: Lateral Spinothalamic Tract and Associated Tracts in Man , Arch. Neurol. & Psychiat. 53:423, 1945. 15. Dusser de Barenne, J. G., and Sager, O.: Sensory Functions of Optic Thalamus of the Monkey (Macacus Rhesus): Symptomatology and Functional Localization Investigated with the Method of Local Strychninization , Arch. Neurol. & Psychiat. 38:913, 1937. 16. Foix, C., and Hillemand, P.: Irrigation de la couche optique , Compt. rend. Soc. biol. 92:52, 1925.

Journal

A.M.A. Archives of Internal Medicine – American Medical Association

Published: Jun 1, 1957

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