Neural Basis of Pain in Herpes Zoster and Postherpetic Neuralgia: The Ectopic Pacemaker Hypothesis

作者: Marshall Devor

DOI: 10.1007/978-3-319-44348-5_13

关键词: NociceptorRashPostherpetic neuralgiaSpinal cordCentral sensitizationMedicineSensory systemAnesthesia

摘要: Pain in herpes zoster and postherpetic neuralgia is classically ascribed to irritable, inflammation-sensitized nociceptors the cutaneous rash spinal cord deafferentation. After considering weaknesses evidence base underlying this view an alternative explanation offered, based on hyperexcitability at ectopic pacemaker sites affected primary sensory neurons, central sensitization induced maintained by activity.

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