By Oliver Sacks
The writer of twelve books, together with the bestselling Awakenings, the guy Who Mistook His spouse For a Hat, Musicophilia, and Hallucinations, Oliver Sacks is the world over popular for his compassionate method of sufferers tormented by profound neurological problems. but while an coincidence on an uninhabited mountain in Norway leaves Dr. Sacks with a critical leg harm, he turns into the sufferer. in the course of what must have been a regimen restoration interval, he reviews an overpowering sensation that his injured leg is now absent from his physique, and certainly from his actual information. In A Leg to face On, one in all Dr. Sacks’ such a lot own works, this traumatic adventure is the place to begin of a desirable trip throughout the mysteries of conception, the actual substance of our identities, and the event of being a patient.
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Additional info for A Leg to Stand On
Diminished response amplitude or temporally dispersed waveforms may reflect axonal injury or loss. • The distribution of abnormalities can differentiate between focal and diffuse neuropathic processes. INDICATIONS • Suspected nerve entrapments or other mononeuropathies. • Suspected polyneuropathies. • Suspected radiculopathy or plexopathy. • Suspected neuromuscular junction disease. CONTRAINDICATIONS 21 • Stimulation may be repeated at a different point along the nerve to measure conduction characteristics along a particular nerve segment.
The ventrocaudal portion of the medial dorsal thalamus (MDvc) also receives an exclusive input from lamina I. This area projects to the anterior cingulate cortex. This medial pathway is likely to represent the motivational affective component of pain. • Other pathways contribute to changes in autonomic function concomitant with pain, including the spinoreticular and spinomesencephalic tracts. FURTHER READING Sorkin LS, Wallace MS. Acute pain mechanisms. Surg Clin North Am. 1999;79:213–230. Wallace MS, Dunn JS, Yaksh TL.
Acute pain mechanisms. Surg Clin North Am. 1999;79:213–230. Wallace MS, Dunn JS, Yaksh TL. Pain: Nociceptive and neuropathic mechanisms with clinical correlates. Anesthesiol Clin North Am. 1997;15:229–334. Yaksh TL, Lynch C, Zapol WM, Maze M, Biebuyck JF, Saidman LJ. Anesthesia: Biologic Foundations. Philadelphia: Lippincott–Raven; 1998:471–718. 3 NEUROPATHIC PAIN Tony L. Yaksh, PhD NERVE INJURY PAIN STATES • Following soft tissue injury and inflammation, pain is a common symptom, the disappearance of which is considered to be a consequence of the healing process.
A Leg to Stand On by Oliver Sacks