Central Stimulation in the Treatment of Pain

1975 ◽  
Vol 37 (1-3) ◽  
pp. 279-279
Author(s):  
Johnn E. Adams ◽  
Yoshio Hosobuchi ◽  
Burton Rutkin
Keyword(s):  
1989 ◽  
Vol 67 (1) ◽  
pp. 128-133 ◽  
Author(s):  
M. D. Owen ◽  
R. D. Matthes ◽  
C. V. Gisolfi

Dehydration increases the osmolality of body fluids and decreases the rate of sweating during thermal stress. By localizing osmotic stimuli to central nervous system tissues, this study assessed the role of central stimulation on sweating in a heat-stressed nonhuman primate. Lenperone-tranquilized patas monkeys (Erythrocebus patas n = 5), exposed to 41 +/- 2 degrees C, were monitored for calf sweat rate, rectal and mean skin temperatures, oxygen consumption, and heart rate during infusions (255–413 microliters) of hypertonic artificial cerebrospinal fluid (ACSF) into the third cerebral ventricle. ACSF made hypertonic with NaCl to yield osmolalities of 800 and 1,000 mosmol/kgH2O significantly decreased sweat rate compared with control ACSF (285 mosmol/kgH2O), achieving maximal reductions during infusion of 37 and 53%, respectively. Rectal temperature significantly increased during the recovery period, reaching elevations of 0.69 and 0.72 degrees C, respectively, at 20 min postinfusion. In contrast, ACSF made hypertonic with sucrose (800 mosmol/kgH2O) failed to change sweat rate or rectal temperature during infusion in three animals. Thus, intracerebroventricular infusions of hypertonic ACSF mimicked dehydration-induced effects on thermoregulation. The reduction in heat loss during infusion appeared to depend on an elevation in cerebrospinal fluid [Na+] and not osmolality per se.


1942 ◽  
Vol 136 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Carl A. Moyer ◽  
Henry K. Beecher

1994 ◽  
Vol 60 (2) ◽  
pp. 205-214 ◽  
Author(s):  
Peter A. Rittenhouse ◽  
Erica A. Bakkum ◽  
Andrew D. Levy ◽  
Qian Li ◽  
Joseph M. Yracheta ◽  
...  

1998 ◽  
Vol 5 (3) ◽  
pp. E9 ◽  
Author(s):  
Bernhard Schall ◽  
Rudolf Probst ◽  
Stephan Strebel ◽  
Peter Fuhr ◽  
Otmar Gratzl

In different experimental studies authors have analyzed the autonomic responses elicited by the electrical, mechanical, or chemical stimulation of the trigeminal nerve system. The trigeminocardiac reflex (TCR) is a well-recognized phenomenon that consists of bradycardia, arterial hypotension, apnea, and gastric hypermotility. It occurs during ocular surgery and during other manipulations in and around the orbit. Thus far, it has not been shown that central stimulation of the trigeminal nerve can also cause this reflex. The TCR was defined as clinical hypotension with a drop in mean arterial blood pressure (MABP) of more than 20% and bradycardia lower than 60 beats/minute. Pre-, intra-, and postoperative heart rate (HR) and blood pressure were reviewed retrospectively in 125 patients who underwent surgery for tumors of the cerebellopontine angle (CPA), and they were divided into a TCR group and a non-TCR group. Of the 125 patients, 14 (11%) showed evidence of TCR during dissection of the tumor near the trigeminal nerve at the brainstem. Their HR fell 38% and their MABP fell 48% during operative procedures as compared with preoperative levels. After cessation of manipulation, the HR and the MABP returned to preoperative levels. Risk factors for the occurrence of TCR were compared with results from the literature. The authors' results show the possibility of occurrence of a TCR during manipulation of the central part of the trigeminal nerve when performing surgery in the CPA.


1939 ◽  
Vol 42 (1) ◽  
pp. 242-248 ◽  
Author(s):  
J. W. Schulte ◽  
M. L. Tainter ◽  
J. M. Dille

1972 ◽  
Vol 70 (4) ◽  
pp. 775-780
Author(s):  
D. Mönkemeier ◽  
G. Ohlenroth

ABSTRACT In order to clarify the central effect of oestriol quantitatively 5 day old male and female rats were treated with one subcutaneous injection of oestriol or 17β-oestradiol. From the 60th day of life these animals were mated with proven fertile partners. The animals were considered sterile if no pregnancy occurred within 60 days of the observation period. With reference to the standard 17β-oestradiol an activity was found for oestriol of 0.125 when tested on male rats and an activity of 0.26 when tested on female rats. Male animals treated with 17β-oestradiol were twice as sensitive as female rats. In female and male rats oestriol caused an identical central stimulation. The central effect of oestriol in relation to the standard 17β-oestradiol was found to be much lower than former investigation had shown. Hence this effect especially with only one injection must be due to the more rapid elimination of oestriol as compared with the standard 17β-oestradiol.


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