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Brain, Vol. 114, No. 2, 907-913, 1991
© 1991 Oxford University Press


research-article

DIFFERENTIAL EFFECT OF COMPRESSION-ISCHAEMIA BLOCK ON WARM SENSATION AND HEAT-INDUCED PAIN

DAVID YARNITSKY1 and JOSÉ L. OCHOA

Department of Neurology, Good Samaritan Hospital and Medical Center, and Oregon Health Sciences University Portland, Oregon, USA

The effect of compression-ischaemia nerve block on psychophysical thresholds for warm sensation and heat-induced pain was studied on 19 normal human volunteers. Although those two sensory submodalities should be predicted to block simultaneously, based on the fact that both are served by unmeylinated primary afferents, it was actually found that warm sensation was much more vulnerable to compression-ischaemia than heat-induced pain. This is interpreted as resulting from different summation requirements for each of the two sensory modalities; sensation of warmth depends on spatial summation to a larger extent than heat-induced pain. Such differential vulnerability is in line with recent clinical studies reporting deterioration of warm sensation associated with preservation of heat pain in peripheral nerve disorders caused by diabetes, ageing and other neuropathic processes.

.

Received August 15, 1989. Accepted June 9, 1990.


1Present address: Department of Neurology, Rambam Medical Center, Haifa 35254, Israel, to whom correspondence should be addressed


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