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Neural Mechanisms of Cardiac Pain
Author Biography
Introduction
Currently selected section: Anterolateral System
Somatic vs. Visceral Nociceptive Processing
Angina Pectoris
Sympathetic Sensory Innervation
Referred Pain
Vagal Sensory Innervation
Other Ascending Pathways
Central Sensitization
Thalamus and Cerebral Cortex
Neurophysiology of Angina Pectorsis
Nausea and Vomiting

Dyspnea
Summary

 

Chapter 25:Neural Mechanisms of Cardiac Pain: The Anterolateral System
        

The Anterolateral System

The anterolateral system contains the "classic" pathways for transmission of nociceptive information from the periphery to the cerebral cortex (Willis and Westlund, 1997). The anterolateral system receives its name because the axons of secondary sensory neurons course in the white matter of the anterolateral quadrant of the spinal cord.

This system consists of several pathways that transmit nociceptive information. The most important of these pathways, and the one most studied, is the spinothalamic tract. This pathway, as well as the other pathways in the anterolateral system, is named for the location of the neuronal cell body (prefix) and termination of the axon (suffix). Thus, the cell bodies of the spinothalamic tract are located in the spinal cord and the axons terminate in the thalamus.

By name only, this pathway would consist of simply the secondary sensory neuron. In common usage, however, the spinothalamic tract consists of all three neurons involved in the pathway from the periphery to the cortex (the classic three neuron pathway).

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