Ch. 19 - Pain (neurosurgical management) Flashcards Preview

Neurosurgery > Ch. 19 - Pain (neurosurgical management) > Flashcards

Flashcards in Ch. 19 - Pain (neurosurgical management) Deck (9)
Loading flashcards...
1

What are the 3 major components of pain?

Sensory - discriminative
Motivational - affective
Cognitive - evaluative

2

Sensory-discriminative component of pain

Spatial, temporal, magnitude aspects of pain

3

Pathway of sensory-discriminative component of pain

Neospinothalamic projections to ventrobasal thalamus to somatosensory cortex

4

Difference between A-delta and C fibers

A-delta: myelinated and fast
C: unmyelinated and slow

5

Cognitive-evaluative component of pain

Person's understanding of pain as it regards to their intellectual, social, and cultural background

6

CNS regions involved in motivational-affective component of pain

Brainstem reticular formation and limbic system

7

Motivational-affective component of pain

Aversive quality of pain

8

Gate control theory of pain

Neural mechanisms in dorsal column of spinal cord act like a gate, which can either increase or decrease the flow of nerve impulses from periphery to CNS

9

Neurosurgical procedures available for pain modulation

Nerve section, spinal cordotomy (section of lateral spinothalamic tract), spinal cord stimulation, sympathectomy, intracerebral procedures, deep brain stimulation (LAST RESORT)