Dipartimento di Scienze Biomediche e NeuroMotorie-DIBINEM, Headache Unit, Ospedale Bellaria, IRCCS Istituto di Scienze Neurologiche, Alma Mater Studiorum-Università di Bologna, Via Altura, 3, 40139 Bologna, Italy.
Neurol Sci. 2013 May;34 Suppl 1:S41-6. doi: 10.1007/s10072-013-1391-z.
The International Association for the Study of Pain (IASP) defines pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage". Pain may also be experienced in absence of noxious stimuli and together with temperature and other bodily feelings constitute the interoception redefined as the sense of the physiological condition of the entire body, not just the viscera. The main characteristic of these feelings is the affective aspect. Emotion, motivation, and consequent behavior connected with these feelings characterize their homeostatic role. This implies an interaction between neural structures involved in pain sensation and autonomic control. The aim of this review is to focus on pain perception, mainly on pain matrix structures' connections with the autonomic nervous system.
国际疼痛研究协会(IASP)将疼痛定义为“与实际或潜在组织损伤相关的不愉快的感觉和情绪体验,或根据这种损伤来描述”。在没有有害刺激的情况下,也可能会感受到疼痛,并且与温度和其他身体感觉一起构成了重新定义的内脏感觉,即整个身体的生理状况的感觉,而不仅仅是内脏。这些感觉的主要特征是情感方面。与这些感觉相关的情绪、动机和随之而来的行为特征表明了它们的动态平衡作用。这意味着参与疼痛感觉的神经结构与自主神经系统之间存在相互作用。本篇综述的目的是重点关注疼痛感知,主要是疼痛矩阵结构与自主神经系统的连接。