Table 4.
Dimensions of thalamic lesions and results of somatic sensory testing in this series
Patient number | Diagnosis | Lesion class | Volume in Vc a | Volume posterior to Vc | Clinical hypersensitivity | Clinical pain descriptors (VAS intensity/unpleasant) | Warm threshold | Heat pain sensation | Cold sensation | Cold pain sensation | Tactile sensation |
---|---|---|---|---|---|---|---|---|---|---|---|
8 | CPSP | Vc only | 20% | 2% | Hypersensitivity to pin and touch | Thermal, tingle (4.9/NA) | NA | NA | Hypoesthesia to acetone drop | Hyperalgesia to cold bar | Hypoesthesia to VF, tuning fork, allodynia to air puff |
3 | CPSP | Vc only | 16% | 2% | Cold allodynia | Thermal, movement, emotion (7.5/5.3) | Normal | WNL | Normal | Hyperalgesia to cold waterbath | Allodynia |
18 | CPSP | Vc plus | 15% | 20% | Allodynia to cold, touch, joint movement | Thermal, movement, emotion (8.5/7) | Hypoesth bilat | WNL | Hypoesth bilateral | Hyperalgesia | Hypoesthesia to VF, allodynia |
13 | Central dysesthesia syndrome | Vc plus | 12% | 16% | Paresthesias on joint or whole body movement | Tingle, emotion (0/10) | Hypoesth bilat | WNL | Hypoesth bilateral | Hypoalgesia | Hypoesthesia to VF, no hypersensitivity |
All volumes apply to lesions and are expressed as a percentage of the volume of Vc. All results refer to the affected side, unless indicated as bilateral. Other conventions are as in Tables 2 and 3. NA, Not available; ND, stimulus not detected; WNL, within normal limits; VF, von Frey; VAS, visual analog scale; hypoesth bilat, hypoesthesia bilaterally.
Volumes of Vc and lesions estimated as Σ by slice of (area of structure × slice thickness).