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Query: UMLS:C0162473 (Frey)
 2,599 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

1. This study examined the effects of the 15-lipoxygenase product of arachidonic acid metabolism, (8R,15S)-dihydroxyicosa-(5E-9,11,13Z)tetraenoic acid (8R,15S-diHETE), on mechanical thresholds and thermal responses of saphenous nerve cutaneous C-fiber nociceptors that innervate the hairy skin of the rat hindpaw. Single C-fiber mechanoheat nociceptors (C-MH) that had von Frey hair (VFH) thresholds greater than 5 g and were activated by a noxious heat stimulus were chosen for study. We also studied the effects of prostaglandin E2 (PGE2), a cyclooxygenase product of arachidonic acid metabolism, on these nociceptors. 2. The 63 C-MHs studied had a conduction velocity of 0.82 +/- 0.03 m/s (mean +/- SE) and a mechanical threshold of 13.4 +/- 2.4 g. In a subgroup of these (n = 24), the thermal threshold was measured as (44 +/- 1 degree C) (mean +/- SE). 3. 8R,15S-diHETE produced a significant decrease in mechanical threshold of C-MHs (n = 33). The 8R,15S-diHETE-induced sensitization of C-MHs to mechanical stimuli was completely antagonized by coadministration with a stereoisomer, 8S,15S-diHETE (n = 10). 4. The mechanical threshold of C-MHs (n = 10), previously injected with the combination of 8R,15S-diHETE and 8S,15S-diHETE, was significantly reduced by a subsequent injection of PGE2. In a separate group of C-MHs (n = 7), PGE2 was co-injected with 8S,15S-diHETE, which failed to antagonize the sensitizing effect of PGE2 on mechanical threshold. 5. 8R,15S-diHETE also sensitized C-MHs (n = 9) to a thermal stimulus consisting of 37 degrees C for 5 min.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:The 15-lipoxygenase product, 8R,15S-diHETE, stereospecifically sensitizes C-fiber mechanoheat nociceptors in hairy skin of rat. 216 22

Unilateral tight ligation of about half of the sciatic nerve in rats rapidly produces sympathetically dependent neuropathic pain which lasts many months and resembles causalgia in humans. The sensory abnormalities detected at the plantar side of the hindpaws include: (1) nocifensive responses to repetitive light touch (allodynia); (2) bilateral reduction in withdrawal thresholds to repetitive von-Frey hair stimulation (mechanical hyperesthesia); (3) bilateral reduction in withdrawal thresholds to CO2 laser heat pulses; and (4) unilateral increase in response duration to an intense laser heat pulse (thermal hyperalgesia). Using neonatal capsaicin treatment, we determined the type of afferent fiber remaining in the partially injured nerve, which mediates these disorders. Capsaicin, which destroys most C- and some A delta-fibers in peripheral nerves, had no effect on the touch-evoked allodynia and mechanical hyperesthesia that are produced by partial sciatic nerve injury. These disorders were, therefore, mediated by myelinated fibers. In contrast, thermal hyperalgesia failed to develop in capsaicin-treated rats following partial nerve injury. Thus, thermal hyperalgesia produced by partial nerve injury appears to be mediated by heat-nociceptive C-fibers.
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PMID:A-fibers mediate mechanical hyperesthesia and allodynia and C-fibers mediate thermal hyperalgesia in a new model of causalgiform pain disorders in rats. 221 58

A man of 63 developed unilateral gustatory rhinorrhea shortly after radical parotidectomy for infiltrating squamous cell carcinoma that had metastasised to the parotid lymph nodes. There is a similarity between this condition and the gustatory vasodilatation and sweating of Frey's syndrome, but despite circumstantial evidence that misdirected nerve regeneration causes these symptoms, their exact aetiology is still unknown.
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PMID:Gustatory rhinorrhea after radical parotidectomy. 223 15

A clinical review has been made of 55 patients who underwent surgery for parotid tumors between 1972 and 1987. The incidence of pleomorphic adenomas was 61.8%. The F.N.A.B. permitted us to reach a correct preoperative diagnosis in 94% of the cases. The surgical procedures we used were: enucleation in eight cases, enucleoresection in five cases, superficial parotidectomy in seven cases, total conservative parotidectomy in 28 cases, total parotidectomy sacrificing the facial nerve in four cases, extended surgery in three cases. For these last three patients a cycle of postoperative radiotherapy for a total of 6000-6500 R. was carried out. As regards complications and sequelae, we must report: temporary lesions of the facial nerve (12.76%), permanent lesions (17%), Frey's syndrome in 10.61%, while a salivary fistula arose in 6.38% of the cases. The follow-up of 47 patients allowed us to observe three recurrences in cases of pleomorphic adenomas (two after enucleoresection and one after superficial parotidectomy), three recurrences in malignant tumors treated with surgery and one recurrence after combined treatment surgery and radiotherapy.
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PMID:Treatment of parotid gland tumors. 224 70

The cardiac side effects of chinchona bark were discovered very soon after its introduction to the materia medica of academic medicine towards the end of the 17th century (Georg Ernst Stahl, 1660-1734). Therapeutically these effects were utilized sporadically as early as in the first half of the 18th century (Gerhard van Swieten, 1700-1772; John Wall, 1708-1776; William Saunders, 1743-1817). Purified quinine became a standard component of cardiac therapy in the 2nd half of the 19th century (Ludwig Traube, 1818-1876; Johann Oppolzer, 1808-1871; Karel Frederik Wenckebach, 1864-1940). In 1918 quinidine was introduced by Walter Frey (1884-1972) as the common alkaloid of chinchona bark and is still used in rhythmology today.
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PMID:[Discovery of the cardiac effectiveness of cinchona bark and its alkaloids]. 228 76

1. Receptive-field properties were investigated in cutaneous C-fiber nociceptive afferents (CMH) responsive to mechanical and heat stimuli. Teased-fiber techniques were used to record from 28 CMHs that innervated the hairy skin of upper or lower limb in anesthetized monkeys. 2. The response to mechanical stimuli was studied with the use of calibrated von Frey probes. The response to heat stimuli was studied with the use of a laser thermal stimulator that provided stepped increases in skin temperature with rise times to the desired temperature near 100 ms. The size of the receptive field (RF) for mechanical stimuli was determined by use of a suprathreshold stimulus that consisted of a 0.5-mm-diam probe that exerted a 200-mN force (10 bar). The size of the heat RF was determined by use of a 49 degrees C stimulus applied to a 7.5-mm-diam area for 1 s. 3. Heat thresholds were determined with an ascending series of stimulus intensities and were found to be stable over many hours: they ranged from 37 to 46 degrees C (mean, 41.1 degrees C). Mechanical thresholds ranged from 1.3 to 7.3 bar (mean, 3.3 bar). There was no correlation between mechanical and heat thresholds. Both thresholds extended well below the corresponding psychophysical pain thresholds in the literature. This suggests that spatial and/or temporal summation of C-fiber input are important for pain induced by either stimulus modality. 4. Mechanical RF diameters ranged from 3.3 to 9.6 mm (mean, 4.7 mm); heat RF diameters ranged from punctate (less than 1 mm) to 9.5 mm (mean, 4.3 mm). There was a significant linear correlation between mechanical and heat RF sizes with a slope of one. The distance between the center of the mechanical RF and the center of the heat RF along one axis ranged from 0 to 1.1 mm (mean, 0.4 mm). These data indicate that the heat RFs coincided with the mechanical RFs. 5. Within the mechanical RF determined with the suprathreshold stimuli, all CMHs had one or more punctate areas of maximal mechanical sensitivity where mechanical threshold was lowest. Heat excitability extended greater than 2 mm beyond these mechanically sensitive spots. Because lateral transmission of the heat stimulus is small, this indicates that heat transduction occurs outside the regions of maximal mechanical sensitivity. 6. Both the threshold to heat and the response magnitude at suprathreshold intensities depended on the percentage of the RF area overlapped by the heat stimulus. This indicates that multiple transducer sites probably contribute to the total evoked response.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Comparison of heat and mechanical receptive fields of cutaneous C-fiber nociceptors in monkey. 228 38

Nine patients suffering from gustatory sweating (Frey's syndrome) following parotidectomy have been treated by topical applications of aluminium chloride hexahydrate. Treatment has successfully controlled gustatory sweating using application intervals varying from 1 to 50 days.
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PMID:The management of Frey's syndrome with aluminium chloride hexahydrate antiperspirant. 230 3

(1) Quantitative measurements of somatosensory thresholds and skin temperature were made before (24 cases), 3-5 days after (12 cases), and 6 months after (11 cases) successful radiofrequency thermocoagulation of the proximal root and gasserian ganglion in 24 cases of idiopathic trigeminal neuralgia (TGN), 18 of whom had not previously undergone any interventional procedure; and in 3 cases of compressive non-TGN neural and 4 of non-neural facial pain at presentation. (2) There were no differences in somatosensory thresholds between the skin innervated by the affected divisions and the unaffected mirror-image areas in previously unoperated cases of TGN and non-neural facial pain ('atypical facial pain') prior to operative intervention; but there were significant differences in tactile (von Frey) thresholds in the cases of non-TGN facial pain of neural origin. (3) In TGN immediately after operation, thresholds for all modalities except cold sensation were significantly raised. Six months later, tactile and tragus pinch pain thresholds had returned to normal; but thresholds for warmth, hot pain, and pinprick remained elevated. However, in cases who had had previous procedures for TGN between 9 months and 5 years earlier, all thresholds except pinprick and possibly hot pain had returned to normal. (4) Prior to operation for TGN, the skin temperature in the affected division was significantly lower than that in the contralateral unaffected division, presumably due to vasoconstriction. In previously operated cases in whom TGN had re-appeared, cutaneous vasoconstriction was also demonstrated.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Sensory and autonomic measurements in idiopathic trigeminal neuralgia before and after radiofrequency thermocoagulation: differentiation from some other causes of facial pain. 227 15

Twenty subjects made magnitude estimates of the roughness of grooved metallic surfaces applied to 10 body loci. To a first approximation, perceived roughness grew as a power function of groove width, in accordance with earlier studies. The exponents and intercepts (up-down position in log-log coordinates) of the power function turn out to depend strongly on body locus. The straight lines in log-log coordinates tend to diverge with groove width so that differences among body loci are especially pronounced at large groove widths. Sensitivity to roughness was greatest for the lips, fingers, and forearm, and least for the heel, back, and thigh. The rank order of the body loci in terms of roughness sensitivity closely parallels the rank order for punctate pressure sensitivity, as reported by von Frey in 1894, but apparently not for other measures of tactile sensitivity, such as vibration thresholds to various frequencies, two-point thresholds, and error of point localization.
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PMID:Perceived roughness as a function of body locus. 232 52

The present study examined the hypothesis that the sensitivity of polymodal nociceptors to bradykinin (BK) might be increased in inflamed tissue. Inflammation was induced in the rat dorsal hindpaw skin by subcutaneous injection of blue stained carrageenan. Three hours later skin and saphenous nerve were excised and the chemical sensitivity of mechano-heat-sensitive C- and A delta fibres was examined in vitro using repeated superfusion of the receptive fields with 10(-5) M BK. Only units within and at the border of the inflamed area showed signs of sensitization, in the form of ongoing activity and lower thresholds to heat stimuli. No sensitization to mechanical (von Frey) stimulation occurred. The incidence of BK responsiveness was significantly higher and the tachyphylaxis to repeated BK application was smaller inside the inflamed skin than outside or in unconditioned skin. Thus, more nociceptive afferents would be driven more effectively than in normal skin, supporting the particular role of BK in inflammatory pain.
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PMID:Carrageenan inflammation increases bradykinin sensitivity of rat cutaneous nociceptors. 233 85


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