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The extent of temperature sense and pain appreciation recovery in the dermatomes of the cauda equina roots after surgery for lumbar intervertebral disk herniation

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Abstract

Temperature sense and pain appreciation in the dermatomes of the cauda equina roots were estimated in patients with lumbar intervertebral disk hernias before surgery, as well as immediately and long after surgery for disk herniation. Before surgery, the temperature sense and pain appreciation were impaired not only in the dermatome of the compressed root, but also in the dermatomes located proximal and distal to it. The temperature sense was impaired more severely. The recovery of the temperature sense and pain appreciation in the dermatomes of the cauda equina roots after surgery is limited, especially in the region innervated by the compressed root. Positive changes in temperature sense and pain appreciation in different zones examined soon after surgery were observed, on average, in 55% of cases, whereas delayed positive changes were detected only in 36% of the patients. Pain appreciation (in tests with heat pain) both immediately and long after surgery was improved to a higher degree.

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References

  1. Zwart, J.A., Sand, T., and Unsgaard, G., Warm and Cold Sensory Thresholds in Patients with Unilateral Sciatica: C Fibers Are More Severely Affected Than A-delta Fibers, Acta Neurol. Scand., 1998, vol. 97, no. 1, p. 41.

    CAS  PubMed  Google Scholar 

  2. Nygaard, O.P. and Mellgren, S.I., The Function of Sensory Nerve Fibers in Lumbar Radiculopathy: Use of Quantitative Sensory Testing in the Exploration of Different Populations of Nerve Fibers and Dermatomes, Spine, 1998, vol. 23, no. 3, p. 348.

    Article  CAS  PubMed  Google Scholar 

  3. Yamashita, T., Kanaya, K., Sekine, M., Takebayashi, T., Kawaguchi, S., and Katahira, G., A Quantitative Analysis of Sensory Function in Lumbar Radiculopathy Using Current Perception Threshold Testing, Spine, 2002, vol. 27, no. 14, p. 1567.

    Article  PubMed  Google Scholar 

  4. Shchurova, E.N., Impairment of Temperature Sense and Pain Appreciation in Patients with Lumbar Intervertebral Disk Herniation, Neirokhirurgiya, 2004, no. 3, p. 34.

  5. Kobayashi, S., Yoshizawa, H., and Yamada, S., Pathology of Lumbar Nerve Root Compression. Part 2: Morphological and Immunohistochemical Changes of Dorsal Root Ganglion, J. Orthop. Res., 2004, vol. 22, no. 1, p. 180.

    Article  CAS  PubMed  Google Scholar 

  6. Nygaard, O.P., Kloster, R., Solberg, T., and Mellgren, S.I., Recovery of Function in Adjacent Nerve Roots After Surgery for Lumbar Disc Herniation: Use of Quantitative Sensory Testing in the Exploration of Different Populations of Nerve Fiber, J. Spinal. Disord., 2000, vol. 13, no. 5, p. 427.

    Article  CAS  PubMed  Google Scholar 

  7. Imoto, K., Takebayashi, T., Kanaya, K., Kawaguchi, S., Katahira, G., and Yamashita, T., Quantitative Analysis of Sensory Functions after Lumbar Discectomy Using Current Perception Threshold Testing, Eur. Spine J., 2007, vol. 16, no. 7, p. 971.

    Article  PubMed  Google Scholar 

  8. Gaidyshev, I.P., Analiz i obrabotka dannykh. spets. spravochnik (Data Analysis and Processing: A Reference Book for Specialists), St. Petersburg: Piter, 2001.

  9. Knotek, P. and Urbancova, H., Pain Intensity and Pain Cutaneous Threshold: Is Dispersion of Threshold Values Valid Predictor of Pain?, Physiol. Res., 1992, vol. 41, p. 23.

    Google Scholar 

  10. Yakupov, R.R., The Condition of the Spine during Chronic Functional Overstrain in Persons Engaged in Manual Labor, Extended Abstract of Cand. Sci. (Med.) Dissertation, Ufa, 2001.

  11. Simonetti, L. and Agati, R., Why Does Disc-Root Conflict Generate Pain?, Riv. Neuroradiol., 1998, vol. 11, no. 3, p. 403.

    Google Scholar 

  12. Yabuki, S., Igarashi, T., and Kikuchi, S., Application of Nucleus Pulposus to the Nerve Root Simultaneously Reduces Blood Flow in Dorsal Root Ganglion and Corresponding Hindpaw in the Rat, Spine, 2000, vol. 25, no. 12, p. 1471.

    Article  CAS  PubMed  Google Scholar 

  13. Olmarker, K., Rydevik, B., and Holm, S., Edema Formation in Spinal Nerve Roots Induced by Experimental Graded Compression, Spine, 1989, vol. 14, p. 569.

    Article  CAS  PubMed  Google Scholar 

  14. Pedowitz, R.A., Carfin, S.R., Massie, J.B., et al., Effect of Magnitude and Duration of Compression on Spinal Nerve Root Conduction, Spine, 1992, vol. 17, p. 194.

    Article  CAS  PubMed  Google Scholar 

  15. Yabuki, S., Kikuchi, S., Olmarker, K., and Myers, R.R., Acute Effects of Nucleus Pulposus on Blood Flow and Endoneurial Fluid Pressure in Rat Dorsal Root Ganglia, Spine, 1998, vol. 23, no. 23, p. 2517.

    Article  CAS  PubMed  Google Scholar 

  16. Sugawara, O., Atsuta, Y., Iwahara, T., Muramoto, T., Watakabe, M., and Takemitsu, Y., The Effects of Mechanical Compression and Hypoxia on Nerve Root and Dorsal Root Ganglia: An Analysis of Ectopic Firing Using an in Vitro Model, Spine, 1996, vol. 21, no. 18, p. 2089.

    Article  CAS  PubMed  Google Scholar 

  17. Musalatov, Kh.A. and Aganesov, A.G., Khirurgicheskaya reabilitatsiya koreshkovogo sindroma pri osteokhondroze poyasnichnogo otdela pozvonochnika (Mikrokhirurgicheskaya i punktsionnaya diskektomiya) (Surgical Rehabilitation of Radicular Syndrome in Lumbar Osteochondrosis: Microsurgical and Puncture Discectomy), Moscow: Meditsina, 1998.

    Google Scholar 

  18. Ohmori, K., Kanamori, M., Kawaguchi, Y., Ishihara, H., and Kimura, T., Clinical Features of Extraforaminal Lumbar Disc Herniation Based on the Radiographic Location of the Dorsal Root Ganglion, Spine, 2001, vol. 26, no. 6, p. 662.

    Article  CAS  PubMed  Google Scholar 

  19. Bersnev, V.P., Davydov, E.A., and Kondakov, E.N., Khirurgiya pozvonochnika, spinnogo mozga i perifericheskikh nervov (Surgery of the Spine, Spinal Cord, and Peripheral Nerves), St. Petersburg: Spetsial’naya Literatura, 1998.

  20. Swerup, C., Determination of Conduction Velocity in A-delta and C Fibres in Humans from Thermal Threshold, Acta Physiol. Scand., 1995, vol. 153, no. 1, p. 81.

    Article  CAS  PubMed  Google Scholar 

  21. Schmidt, R., Somatovisceral Sensibility: Cutaneous Senses, Proprioception, Pain, in Human Physiology, Schmidt, R.F. and Thews, G., Eds., Berlin: Springer, 1989, p. 202.

    Google Scholar 

  22. Tsiryul’nikov, E.M., Gavrilov, L.P., and Devis, I., On Different Perceptions of Skin Pain, Sens. Sist., 2000, vol. 14, no. 3, p. 234.

    Google Scholar 

  23. Defrin, R., Ohry, A., Blumen, N., and Urca, G., Sensory Determinants of Thermal Pain, Brain, 2002, vol. 125,part 3, p. 501.

    Article  PubMed  Google Scholar 

  24. Chao, C.C., Hsieh, S.C., Tseng, M.T., Chang, Y.C., and Hsieh, S.T., Patterns of Contact Heat Evoked Potentials (CHEP) in Neuropathy with Skin Denervation: Correlation of CHEP Amplitude with Intraepidermal Nerve Fiber Density, Clin. Neurophysiol., 2008, vol. 119, no. 3, p. 653.

    Article  PubMed  Google Scholar 

  25. Schmidt, R., Schmelz, M., Forster, C., Ringkamp, M., and Torebjork, E., Novel Classes of Responsive and Unresponsive C-Nociceptors in Human Skin, J. Neurosci., 1995, vol. 15, no. 1, p. 333.

    CAS  PubMed  Google Scholar 

  26. Mosek, A., Yarnitsky, D., Korczyn, A.D., and Niv, D., The Assessment of Radiating Low Back Pain by Thermal Sensory Testing, Eur. J. Pain, 2001, vol. 5, no. 4, p. 347.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Federal Agency for High Technological Medical Services, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopedics, Kurgan, 640014, Russia

    E. N. Shchurova & A. T. Khudiayev

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  1. E. N. Shchurova
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  2. A. T. Khudiayev
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Original Russian Text © E.N. Shchurova, A.T. Khudiayev, 2010, published in Fiziologiya Cheloveka, 2010, Vol. 36, No. 3, pp. 95–101.

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Shchurova, E.N., Khudiayev, A.T. The extent of temperature sense and pain appreciation recovery in the dermatomes of the cauda equina roots after surgery for lumbar intervertebral disk herniation. Hum Physiol 36, 329–334 (2010). https://doi.org/10.1134/S0362119710030126

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  • DOI: https://doi.org/10.1134/S0362119710030126

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