Phantom and Stump Pain

1. Front Matter

   Pages I-X

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2. Neurobiological Basis

   1. Front Matter

      Pages 1-1

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   2. On the Origin of Pain Associated with Amputation

      • P. D. Wall

      Pages 2-14

   3. Neurophysiological Analysis of Efferent Sympathetic and Afferent Fibers in Skin Nerves with Experimentally Produced Neuromata

      • H. Blumberg, W. Jänig

      Pages 15-31

   4. Somatosensory Evoked Potentials in Above-Knee Amputees with Phantom and Stump Pain

      • F. Drechsler, O. Schrappe

      Pages 32-41

3. Psychophysiological and Clinical Aspects

   1. Front Matter

      Pages 43-43

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   2. Clinical and Neurophysiological Findings in Above-Knee Amputees: A Synopsis

      • O. Schrappe, F. Drechsler, F. Danke

      Pages 44-50

   3. The Phenomenology of Postamputation Pain

      • F. Danke

      Pages 51-55

   4. Phantom Sensations After Amputation: The Importance of Localization and Prognosis

      • F. Danke

      Pages 56-61

   5. Phantom Sensations (Phantom Arm) in Plexus Paralysis

      • H. Reisner

      Pages 62-65

   6. Phantom Illusions in Spinal Cord Lesions

      • M. Berger, F. Gerstenbrand

      Pages 66-73

   7. Phantom Limb Pain in Arterial Occlusive Disease

      • F. Franke, F. P. Gall

      Pages 74-76

   8. Phantom Tooth Phenomenon: Painless and Painful Sensations

      • L. Pöllmann

      Pages 77-80

   9. Phantom Tooth

      • H. Reisner

      Pages 81-83

   10. The Analysis of Personality Factors in the Prediction of Phantom Limb Pain

       • F. Steigerwald, J. Brass, J. U. Krainick

       Pages 84-88

4. Medical Treatment

   1. Front Matter

      Pages 89-89

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   2. Drug Treatment of Phantom and Stump Pain

      • F. Danke

      Pages 90-92

   3. Treatment of Phantom Pain by Transcutaneous Stimulation (TNS) of the Stump, the Limb Contralateral to the Stump, and the Other Extremities

      • M. Gessler, A. Struppler, B. Oettinger

      Pages 93-98

   4. Transcutaneous Electrical Nerve Stimulation in Postamputation Pain

      • J. U. Krainick, U. Thoden

      Pages 99-102

   5. Transcutaneous Electrical Nerve Stimulation (TNS) in the Treatment of Chronic Pain After Peripheral Nerve Lesions

      • D. Klingler, B. Kepplinger

      Pages 103-106

The phenomenon of phantom limb was described in medical literature at least as early as 1545 by Ambroise Pare, according to the notes in the translation of Lemos' dissertation, "On the Continuing Pain of an Amputated Limb", by Price and Twombly [9]. This strange experience was brought to public attention by a popular essay anonymously published 1866 by Mitchell concerning the story of George Dedlow, a quadriamputee who described his invisible limbs [7]. In 1871 Mitchell wrote under his own name, and was the. first to use the term "phantom limb" [8]. In this work, he also corrected some erroneous beliefs that had arisen from his 1866 essay [13]. Most amputees report feeling a phantom limb almost immediately after amputation of an arm or a leg [11]. It is a positive sensation, usually described as tingling or numbness, which is not painful. The most distal parts of the limb, particulary the digits, thumb, and index, are the strongest and most persisting phantom sites, and may be the only parts to appear even after removal of a whole limb. The elbow or knee is sometimes involved, the forearm or lower leg rarely, and the upper arm and thigh almost never [5]. The phantom thus appears to consist predominantly of those parts which have the most extensive representa­ tion in the thalamus and in the cerebral cortex.

• Amputationsempfindung
• Amputationsstumpf
• Phantomschmerz
• pain
• treatment

• Neurochirurgische Universitätsklinik, Zürich, Switzerland

  Jean Siegfried

• II. Physiologisches Institut, Universität Heidelberg, Heidelberg, Germany

  Manfred Zimmermann

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