In the course of a series of blocks of the ulnar and lateral popliteal nerves of volunteers a study was made of the manner in which the responses of the subject to sensory stimulation become progressively altered and finally obliterated. These changes are described, together with the manner of recovery, and an account is given of various sensations induced by the blocking and the recovery processes. The relevant literature is briefly reviewed and possible factors involved in these phenomena are discussed.
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References
1.
AchelisJ. D. (1936). Die Physiologie der Schmerzen. Nervenarzt9, 559–568.
2.
AlrutzS. (1897). Studien auf dem Gebiete der Temperatursinne. Skand. Arch. f. Physiol.7, 321–340.
3.
AlrutzS. (1900). Studien auf dem Gebiete der Temperatursinne.—II. Die Hit-zeempfindung. Skand. Arch. f. Physiol.10, 340–352.
4.
AlrutzS. (1906). Ueber die sog. perversen Temperaturempfmdungen. Skand. Arch. f. Physiol.18, 166–176.
5.
AshbyM. (1949). Delayed withdrawal reflex and perception of pain; studies in a case of syphilitic meningomyelitis and tabes with extensor plantar responses of a type not previously described. Brain72, 599–612.
6.
BarkerL. F. (1896). A case of circumscribed unilateral and elective sensory paralysis. J. Exp. Med.1, 348–360.
7.
BastienJ.-B.VulpianA. (1855). Mémoire sur les effets de la compression des nerfs. Gaz. Med.794–795.
8.
BazettH. C.McGloneB. (1931). Chemical factor in causation of tingling sensations during and after release of stasis. Proc. Soc. exp. Biol., New York29, 87–88.
9.
BazettH. C.McGloneB.BrocklehurstR. J. (1930). The temperatures in the tissues which accompany temperature sensations. J. Physiol.69, 88–112.
10.
BickfordR. G. (1939). The fibre dissociation produced by cooling human nerves. Clin. Sci.4, 159–165.
11.
BishopG. H. (1946). Neural mechanisms of cutaneous sense. Physiol. Rev.26, 77–102.
12.
BoeriG.Di SilvestroR. (1899). Sur le mode de se comporter des différentes sensibilityés sous l'action de divers agents. Arch. Ital. de Biol.31, 460–464.
13.
BourguignonG.LaugierH. (1923). Variations de l'excitabilité neuro-musculaire sous l'influence de la suppression et du rétablissement de la circulation d'un membre chez l'homme. Arch. Internal. Physiol.21, 265–294.
14.
BoycottA. E. (1902). On the influence of temperature on the conductivity of nerve. J. Physiol.27, 488–506.
15.
Brown-SéquardC. E. (1857). On the power possessed by motor and sensitive nerves of retaining their vital properties longer than muscles when deprived of blood. Proc. Roy. Soc.8, 600–603.
16.
CarpenterW. B. (1847). Touch. Cyclopedia of Anatomy and PhysiologyToddR. B.London: Longman, Brown, Green, Longmans and RobertsVolume 4, 1163–1184.
17.
CrookM. N. (1932). The sensory aspects of electrical stimulation. J. Gen. Psychol.6, 49–69.
18.
DallenbachK. M. (1927). The temperature spots and end-organs. Am. J. Psychol.39, 402–427.
19.
DallenbachK. M. (1929). A bibliography of the attempts to identify the functional endorgans of cold and warmth. Am. J. Psychol.41, 344.
20.
DessoirM. (1892). Ueber den Hautsinn. Arch. f. Physiol.175–339.
21.
DolleyC. S.CattellJ. McK. (1894). On reaction times and the velocity of the nervous impulse. Psych. Rev.1, 159–168.
22.
EbbeckeU. (1922). Membranänderung und Nervenerregung.—II. Ueber das Nervenschwirren bei Reizung sensiblen Nerven. Pflüger's Arch.197, 482–499.
23.
Eichler (1930). Ueber die Reaktionszeiten bei Schmerzreisen. Zeit. f. Psychol, u. Physiol, d. Sinnesorg.60, 325–333.
24.
FabritiusH.Von BermannE. (1913). Zur Kenntnis der Haut und Tiefen-sensibilität, untersucht mittels der Abschnürungsmethode. Archiv. f. Physiol.151, 125–157.
25.
Von FreyM. (1897). Untersuchungen über die Sinnesfunctionen der menschlichen Haut. I. Druckemfindung und Schmerz. Abhand. d. math-phys., Cl. d. K. Sachs ges. d. Wiss.23, 169–266.
26.
GadJ.GoldscheiderA. (1892). Ueber die Summation von Hautreizen. Zeit. f. klin. Med.20, 339–373.
27.
GasserH. S. (1943). Pain producing impulses in peripheral nerves. Proc. Ass. Res. Nerv. Ment. Dis.23, 44–62.
28.
GasserH. S. (1945). Mammalian nerve fibers. Nobel lectureStockholm: Norstedt & Soner13.
29.
GasserH. S.ErlangerJ. (1929). The role of fiber size in the establishment of a nerve block by pressure or cocaine. Am. J. Physiol.88, 581–591.
30.
Von GilmerB. H. (1942). The relation of cold sensitivity to sweat duct distribution and the neurovascular mechanisms of the skin. J. Physiol.13, 307–325.
31.
GoldscheiderA. (1884). Die specifische Energie der Temperaturnerven. Monatsh. f. prakt. Dermatol.3, 198–208.
32.
GoldscheiderA. (1886). Zur Dualität des Temperatursinns. Pflüger's Arch.39, 96–120.
33.
GoldscheiderA.HahnH. (1924). Untersuchungen über den Temperatursinn.—II. Chemische Reizung und Lähmung der Temperaturnerven. Schichtungstheorie. Paradoxe Wärmeempfindung. Hitzeempfindung. Pflüger's Arch.206, 308–324.
34.
GranitR.LundbergA. (1947). Heat- and cold-sensitive mammalian nerve fibres. Some somatic reflexes to thermostimulation. Acta Physiol. Scand.13, 334–346.
35.
GrundigJ. (1930). Versuche zur Frage der paradoxen Wärmempfmdung. Zeit. f. Biol.89, 547–554.
36.
HeadH. (1920). Studies in NeurologyLondon: Oxford Med. Publ.837.
37.
HeinbeckerP.BishopG. H.O'LearyJ. (1934). Analysis of sensation in terms of the nerve impulse. Arch. Neurol. Psychiat.31, 34–53.
38.
HyndmanO. R.WolkinJ. (1941). The sympathetic nervous system. Influence on sensibility to heat and cold and to certain types of pain. Arch. Neurol. Psychiat.46, 1006–1016.
39.
JenkinsW. L. (1938). Studies in thermal sensitivity.—IV. Minor contributions. J. exp. Psychol.22, 178–185.
40.
KantorJ. R. (1947). Problems of Physiological PsychologyBloomington, Indiana: Principia Press398.
41.
KauffmannF. (1921). Ueber die Latenzzeit der Schmerzempfindung im Bereiche hyperalgetischer Zonen bei Anwendung von Wärmereizen. Münch, med. Woch.1174–1178.
42.
KauffmannF.SteinhausenW. (1921). Ueber die Abhängigkeit der Reflexzeit von der Stärke des Reizes. Pflüger's Arch.190, 12–40.
43.
KellgrenJ. H.McGowanA. J. (1948). On the behaviour of deep and cutaneous sensibility during nerve blocks. Clin. Sci.7, 1–11.
44.
KendallD. (1939). Some observations on central pain. Brain62, 253–273.
45.
KugelbergE. (1944). Accommodation in human nerves. Acta Physiol. Scand.8, Suppl. 241–105.
46.
KugelbergE. (1946a). Neurologic mechanism for certain phenomena in tetany. Arch. Neurol. Psychiat.56, 507–521.
47.
KugelbergE. (1946b). “Injury activity” and “trigger zones” in human nerves. Brain69, 310–324.
48.
KugelbergE. (1948a). Activation of human nerves by ischemia. Arch. Neurol. Psychiat.60, 140–152.
49.
KugelbergE. (1948b). Activation of human nerves by hyperventilation and hypocalcemia. Arch. Neurol. Psychiat.60, 153–164.
50.
LanierL. H. (1935). An experimental study of cutaneous innervation. Proc. Ass. Res. Nerv. Ment. Dis.15, 437–456.
51.
LedantecA. (1919). Dissociation electro-physiologique de la sensibilité cutanée chez l'homme normal. Dissociation de la douleur chez les blesses de guerre. Traitement. J. de Med. de Bordeaux90, 451–483.
52.
LehmannJ. E. (1937). The effect of asphyxia of mammalian A nerve fibers. Am. J. Physiol.199, 111–120.
53.
LewisT. (1941). Observations on some normal and injurious effects of cold upon the skin and underlying tissues.—I. Reactions to cold, and injury of normal skin. Brit. Med. J.2, 795–797.
54.
LewisT.PochinE. E. (1937). The double pain response of the human skin to a single stimulus. Clin. Sci.3, 67–76.
55.
LewisT.PochinE. E. (1938). Effects of asphyxia and pressure on sensory nerves of man. Clin. Sci.3, 141–155.
56.
LewisT.PickeringG. W.RothschildP. (1931). Centripetal paralysis arising out of arrested bloodflow to the limb. Heart16, 1–32.
57.
MagladeryJ. W.McDougalD. B.StollJ. (1950). Electrophysiological studies of nerve and reflex activity in normal man.—III. The post-ischæmic state. Bull. Johns Hopkins86, 313–340.
58.
MerringtonW. R.NathanP. W. (1949). A study of post-ischæmic paræsthesiae. J. Neurol. Neurosurg. Psychiat.12, 1–18.
59.
MitchellS. W. (1872). Injuries of Nerves and their ConsequencesPhiladelphia: Lippincott377.
60.
NafeJ. P.WagonerK. S. (1936). The experiences of warmth, cold and heat. J. Psychol.2, 421–433.
61.
NafeJ. P.WagonerK. S. (1937). The dependency of cold upon vascular action; studies with nerve block. Am. J. Psychol.49, 636–644.
62.
NaunynB. (1879). Beitrag zur Kenntniss der Sensibilitätstörungen bei Rücken-markskrankheiten. Deutsche. Archiv. f. klin. Med.23, 414–422.
63.
PavlicekG.JenkinsJ. G. (1933). Paradoxical warmth. Am. J. Psychol.45, 350–353.
64.
PiéronH. (1923). Comment se pent concevoir la “sensation” de douleur. Rev. gén. des Sciences34, 365–371.
65.
PiéronH. (1929). La dissociation des douleurs cutanées et la différentiation des conducteurs algiques. L'Année Psychol.30, 1–24.
66.
PiéronH. (1930). Temps de réaction et dissociation des douleurs cutanées. C.R. Soc. de Biol.103, 883–886.
67.
PiéronH. (1931). Nou velles données sur la dissociation des douleurs cutanées. J. de Psychol.28, 279–282.
68.
PiéronH.SegalJ. (1938). La sensibilité tactile digitale etudiée par stimulation electrique du neff cutané. C.R. Soc. de Biol.128, 762–764.
69.
PochinE. E. (1938). Delay of pain perception in tabes dorsailis. Clin. Sci.3, 191–196.
70.
PonzoM. (1909). Ueber die Wirkung des Stovains auf die Organe des Geschmacks, der Hautempfindugen usw. Arch. f. d. ges. Psychol.14, 385–436.
71.
RaffelG. (1936). Recovery of sensitivity to prick and touch after pressure block, with a note on the sensitivity of hair spots. J. Gen. Psychol.15, 13–21.
72.
ReidC. (1931). Experimental ischæmia: sensory phenomena, fibrillary twitchings, and effects on pulse, respiration, and blood-pressure. Quart. J. exp. Physiol.21, 243–251.
73.
ReinH. (1924). Ueber die Topographie der Wärmempfindung. Beziehungen zwischen Innervation und rezeptorischen Endorganen. Zeit. f. Biol.81, 513–535.
74.
SchilderP. (1913). Zur pathologische Physiologie der Hautsinne. I. Ueber perverse Wärme- und Hitzeempflndungen. Zeit. f. d. ges. Neurol, u. Psych.14, 604–649.
75.
SherringtonC. S. (1947). The Integrative Action of the Nervous SystemCambridge: The University Press433.
76.
SinclairD. C. (1948). Observations on the sensory paralysis produced by compression of a human limb. J. Neurophysiol.11, 75–92.
77.
SinclairD. C. (1949). The remote reference of pain aroused in the skin. Brain72, 364–372.
78.
SinclairD. C.HinshawJ. R. (1950). Sensory changes in procaine nerve block. Brain73, 224–243.
79.
SinclairD. C.HinshawJ. R. (1951a). A comparison of the sensory dissociation produced by procaine and by limb compression. Brain74, 480–98.
80.
SinclairD. C.HinshawJ. R. (1951b). Sensory changes in nerve blocks induced by cooling. Brain in the press.
81.
SteinH.Von weizsäckerV. (1927). Der Abbau der sensiblen Funktionen. Eine sinnesphysiologische Analyse der Hypästhesie. Deutsche Zeit. f. Nerven-heilk99, 1–30.
82.
SteinM. H.WortisH. (1941). Tabes Dorsalis; evaluation of the sensory findings. Arch. Neurol. Psychiat.46, 471–476.
83.
StoneL. J.JenkinsW. L. (1940). Recent research in cutaneous sensitivity: I. Pain and temperature. Psychol. Bull.37, 285–311.
84.
SymondsC. P. (1931). The physiology of painful sensation. Lancet2, 723–726.
85.
ThompsonI. M. (1935). An outline of the application of certain technical advances to some problems of cutaneous innervation and sensation. Proc. Ass. Res. Nerv. Ment. Dis.15, 98–102.
86.
ThompsonI. M.KimballH. S. (1936). Effect of local ischæmia upon human nerve fibers in vivo. Proc. Soc. exp. Biol. Med.34, 601–603.
87.
ThompsonI. M.BanksG. F.BarronA.FratisA. M.MattisonB. F. (1934). Differential elevation of cutaneous sensory thresholds by alternating currents applied to a nerve. Univ. Calif. Publ. Anat.1, 167–194.
88.
ThunbergT. (1901). Untersuchungen über die relative Tienfenlage der kälte-, wärme-, und schmerzpercipirenden Nervenden in der Haut und über das Verhältniss der Kältenervenden gegenüber Wärmereizen. Skand. Arch. f. Physiol.11, 382–435.
89.
TrotterW.DaviesH. M. (1913). The peculiarities of sensibility found in cutaneous areas supplied by regenerating nerves. J. F. Psychol, u. Neurol. Leipzig20, Ergnzhft, 2, 102–150.
90.
WallerA. (1861). On the sensory, motory and vasomotory symptoms resulting from the refrigeration of the ulnar nerve. Proc. Roy. Soc.11, 436–438.
91.
WeddellG.SinclairD. C. (1947). Pins and needles: observations on some of the sensations aroused in a limb by the application of pressure. J. Neurol. Neurosurg. Psychiat.10, 26–46.
92.
WeddellG.SinclairD. C.FeindelW. H. (1948). An anatomical basis for alterations in quality of pain sensibility. J. Neurophysiol.11, 99–109.
93.
WolfS.HardyJ. D. (1941). Studies on pain. Observations on pain due to local cooling and on factors involved in the “cold pressor” effect. J. Clin. Invest.20, 521–533.