大脑与疼痛:感知而非感觉的大脑——一种洞察

N. Puranik, Aparna A Mulgund, Stephy Sebastian
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引用次数: 0

摘要

在探索大脑与疼痛之间罕见的联系时,我们遇到了许多复杂的概念。大脑中缺乏疼痛受体,而大脑是感知的所在地,这一点很难理解。自过去几十年以来,这些信息一直被用于进行清醒的脑部手术。疼痛作为感觉刺激只是冰山一角,因为它有很多维度。追踪疼痛冲动的历程对于理解疼痛感知的概念是必不可少的。定位疼痛矩阵并发现大脑不同区域在疼痛感知中的功能是一项艰巨的工作。内源性镇痛系统在下行疼痛调节通路中形成基质,决定疼痛是可怕的还是可以忍受的。理解头痛和脑痛之间的区别是非常重要的。情绪和痛苦就像一枚硬币的两面。这篇综述是一个普遍感兴趣的话题,并讨论了疼痛感知和调节的概念。
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Brain and Pain: Brain for Perception Not for Feeling - An Insight
In exploring the rare connection of the brain and pain, we come across many complex concepts. The absence of pain receptors in the brain and brain being the seat of perception is just formidable to understand. This information has been used since the last several decades to perform awake brain surgeries. Pain as sensory stimuli is just like a tip of the iceberg because it has a multitude of dimensions. Tracing the journey of pain impulse is indispensable to understand the concept of pain perception. It was a strenuous job to locate the pain matrix and discover the functions of distinct areas of the brain in pain perception. The endogenous analgesic system forms the substratum in the arch of Descending pain modulatory pathway which decides whether the pain is terrible or tolerable. It is very important to understand the difference between a headache and brain ache. Emotions and pain are like the two faces of the same coin. This review is a general topic of interest and discusses the concept of pain perception and modulation.
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