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Parietal Pseudothalamic Pain Syndrome: Clinical Features and Anatomic Correlates
Abstract
We studied six patients who developed spontaneous hemibody pain following lesions of the parietal lobe. The pain was characterized as burning or icelike, and was associated with impairment of pin and temperature appreciation. Computed tomographic scanning showed that the common area of involvement in all cases was the white matter deep to both the caudal insula and the opercular region of the posterior parietal cortex. We suggest that disruption of the interconnections between these cerebral cortical areas (including the second somatosensory representation, SII) and the thalamus, particularly the intralaminar and ventroposterior nuclei, may be responsible for producing a thalamocortical disconnection syndrome with spontaneous pain as its clinical manifestation.
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Citations
Cites
The posterior thalamic region and its cortical projection in new world and old world monkeys
Burton, H., & Jones, E. G. (1976) · Journal of Comparative Neurology · doi:10.1002/cne.901680204 · Cited by 555
Cited by
How do you feel? Interoception: The sense of the physiological condition of the body
Craig, A. D. (2002) · Nature Reviews Neuroscience · doi:10.1038/nrn894 · Cited by 6,006
Circuitry and functional aspects of the insular lobe in primates including humans
AUGUSTINE, J. (1996) · Brain Research Reviews · doi:10.1016/s0165-0173(96)00011-2 · Cited by 1,776
The nature of feelings: evolutionary and neurobiological origins
Damasio, A., & Carvalho, G. B. (2013) · Nature Reviews Neuroscience · doi:10.1038/nrn3403 · Cited by 1,280
Schmahmann, J. D., & Pandya, D. N. (2006) · doi:10.1093/acprof:oso/9780195104233.001.0001 · Cited by 1,157
Self-citationThermosensory activation of insular cortex
Craig, A. D., Chen, K., Bandy, D., & Reiman, E. M. (2000) · Nature Neuroscience · doi:10.1038/72131 · Cited by 1,004
Metadata
- Authors
- Schmahmann, J. D.
- Venue
- Archives of Neurology
- Publisher
- American Medical Association (AMA)
- Published
- 1992-10-01
- Volume
- 49
- Issue
- 10
- Pages
- 1032
- ISSN
- 0003-9942 (ISSN-L)
- OpenAlex
- W2118789894
- Cited by
- 189
- References
- 1
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- closed
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- Schmahmann, J. D. (1992). Parietal Pseudothalamic Pain Syndrome: Clinical Features and Anatomic Correlates. Archives of Neurology. https://doi.org/10.1001/archneur.1992.00530340048017
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.