Faculdade Medicina Jundiaí, Rua Francisco Telles, 250, ZC: 13 202 550 Jundiaí, São Paulo, Brazil.
Med Hypotheses. 2011 Nov;77(5):853-6. doi: 10.1016/j.mehy.2011.07.054. Epub 2011 Aug 20.
In the somatosensory system, various different sensory receptors capture different stimuli and convey them to the sensory cortex. Each type of receptor is specialised, that is, receives the stimulus to which it is predetermined to receive. Immediately as it is stimulated, the receptor sends a signal to the somatosensory cortex, via nerve fibres, and the area of the cortex that receives the signal determines the mode of the consequent perception. This mechanism is called principle of the "labelled" lines. The somatic receptors are the structures designated to receive stimuli, however, if their afferent fibres are stimulated at any point when approaching the cortex, the mode of perception by the cortex is the same as when the somatic receptor is stimulated directly. This occurs after the amputation of a limb, wherein the remaining fibres transmit to the cortex the mode of sensation for which they were specialised, despite the lack of somatic receptors at the beginning of the afferent pathway. However, the afferent pathway ends at the same cortex area as before the deafferentation. Since the somatic receptors and the integrity of afferent pathways are important to the regulation and modulation of the received stimuli, after the deafferentation the afferent pathway becomes anatomically and functionally abnormal. We believe these factors, involved in the pathophysiology of phantom limb (PHL), might be the explanation for this intriguing phenomenon.
在躯体感觉系统中,各种不同的感觉受体捕捉不同的刺激,并将其传递到感觉皮层。每种受体都是专门的,也就是说,它只接收预定要接收的刺激。一旦受到刺激,受体就会通过神经纤维向感觉皮层发送信号,而接收信号的皮层区域决定了随后感知的模式。这个机制被称为“标记线”原理。躯体受体是专门接收刺激的结构,然而,如果它们的传入纤维在接近皮层的任何一点受到刺激,那么皮层的感知模式与直接刺激躯体受体时相同。这种情况发生在肢体截肢后,剩余的纤维向皮层传输它们专门化的感觉模式,尽管在传入通路的起始处没有躯体受体。然而,传入通路的终点与去传入之前的相同皮层区域相同。由于躯体受体和传入通路的完整性对于接收刺激的调节和调制很重要,去传入后传入通路在解剖学和功能上变得异常。我们认为,这些涉及幻肢(PHL)病理生理学的因素可能是这种有趣现象的解释。