01191nas a2200301 4500000000100000008004100001260001300042653000900055653002200064653002300086653001100109653001100120653000800131653001200139653000900151653001600160653000900176653002600185653002300211100001200234700001200246700001300258245006000271300001000331490000700341520052700348022001400875 1997 d c1997 May10aAged10aAged, 80 and over10aAnesthesia, Spinal10aFemale10aHumans10aLeg10aleprosy10aMale10aMiddle Aged10aPain10aRetrospective Studies10aSpinal Nerve Roots1 aTsuji C1 aSaito T1 aHatano K00a[Leg pain under spinal anesthesia in leprosy patients]. a704-70 v463 a
We studied leg pain experienced under spinal anesthesia in leprosy patients. Seven of twenty patients complained of the leg pain a few minutes after spinal block. The pain was localized in the parts of deafferentation or phantom limb, and was relatively mild and controllable. We consider that the inhibitory system is inactivated when the somatic impulse is blocked by spinal anesthesia, and as a result the abnormal burst activity of dorsal horn produced by peripheral nerve damage of leprosy causes phantom pain.
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