Article1 April 1956THE PHANTOM LIMBANDOR A. WEISS, M.D.ANDOR A. WEISS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-4-668 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough first mentioned by Ambroise Paré in 1511,1 the phantom limb was not again referred to in the literature until its masterly description by Weir Mitchell in 1871.2 In spite of a rather extensive recent literature on this subject, there is still much difference of opinion as to its etiology and the type of treatment to be employed.For a better understanding of the painful phantom limb, let us first consider the so-called "natural phantom," the sensation that the amputated part is still present. It consists of a tingling which is not only painless but also may even be quite...Bibliography1. Paré A: La methode de curer les combustions principalement faictes par la pouldre a canon, 1511, Iean de Brie, Paris. Google Scholar2. Mitchell SW: Phantom limbs, Lippincott's Magazine 8: 563-569, 1871. Google Scholar3. Riechert T: Beobachtungen an einem Phantomarm, Nervenarzt 7: 566, 1934. Google Scholar4. Pitres A: Études sur les sensations illusoires des amputés, Ann. méd.-psychol. 5: 1-19, 177-192, 1897. Google Scholar5. AdlerHoff AH: Beitrag zum Lehre vom Phantomgliede, Monatschr. f. Psychiat. u. Neurol. 76: 80-86, 1930. CrossrefGoogle Scholar6. BaileyMoersch AAFP: The phantom limb, Canad. M. A. J. 45: 37-42, 1941. MedlineGoogle Scholar7. Pick A: Ein Beitrag aus der Kriegsmedizin, Neurol. Centralbl. 34: 257-265, 1915. Google Scholar8. BrowderGallagher JJP: Dorsal cordotomy for painful phantom limb, Ann. Surg. 128: 456-469, 1948. CrossrefMedlineGoogle Scholar9. Riddoch G: Phantom limb and body shape, Brain 64: 197, 1941. CrossrefGoogle Scholar10. Leriche R: La chirurgie de la douleur, 1937, Masson & Cie, Paris. Google Scholar11. EwaltRandallMorris JRGCH: The phantom limb, Psychosom. Med. 9: 118-123, 1947. CrossrefMedlineGoogle Scholar12. HendersonSmyth WRGE: The phantom limb, J. Neurol., Neurosurg. and Psychiat. 11: 88-112, 1948. CrossrefGoogle Scholar13. Mitchell W: Injuries of nerves and their consequences, 1872, Lippincott & Co., Philadelphia. CrossrefGoogle Scholar14. Foerster O: Ueber das Phantomglied, Med. Klin. 27: 497-500, 1931. Google Scholar15. PitresSouquesPoisot AA: Origine peripherique des membres amputes, Rev. neurol. 13: 1112-1116, 1905. Google Scholar16. Livingston WK: Pain mechanism: a physiologic interpretation of causalgia and its related states, 1944, The Macmillan Co., New York. CrossrefGoogle Scholar17. FalconerLindsay MAJS: Painful phantom limb treated by high cervical cordotomy, Brit. J. Surg. 33: 301-306, 1946. CrossrefGoogle Scholar18. Falconer MA: Surgical treatment of intractable phantom limb pain, Brit. M. J. 1: 299-304, 1953. CrossrefMedlineGoogle Scholar19. WeddellSinclairFeindel GDCWH: An anatomical basis for alterations in quality of pain sensibility, J. Neurophysiol. 11: 99, 1948. CrossrefMedlineGoogle Scholar20. EcclesMclntyre JCAK: Plasticity of mammalian monosynaptic reflexes, Nature, London 167: 466, 1951. CrossrefGoogle Scholar21. HeadHolmes HG: Sensory disturbances from cerebral lesions, Brain 34: 102-254, 1911. CrossrefGoogle Scholar22. Riddoch G: Phantom limbs and body shape, Brain 64: 197-222, 1941. CrossrefGoogle Scholar23. Kallio KE: Phantom limb of forearm stump cleft by kineplastic surgery, J. internat. chir. 12: 110-119, 1952. MedlineGoogle Scholar24. Lunn V: Om legemsbevidstheden, 1948, Ejnar Munksgaard, Kobenhavn, quoted by Kallio.23 Google Scholar25. Soucks W: Two stage disappearance of phantom limb, Wien. klin. Wchnschr. 63: 329-330, 1951. Google Scholar26. Bors E: Phantom limbs of patients with spinal cord injury, Arch. Neurol. and Psychiat. 66: 610-631, 1951. CrossrefGoogle Scholar27. Kolb LC: Psychiatric aspects of treatment for intractable pain in the phantom limb, M. Clin. North America 34: 1029-1042, 1950. CrossrefMedlineGoogle Scholar28. Kolb LC: Treatment of the acute painful phantom limb, Proc. Staff Meet., Mayo Clin. 27: 110-118, 1952. MedlineGoogle Scholar29. RandallEwaltBlair GCJRH: Psychiatric reaction to amputation, J. A. M. A. 128: 645-652, 1945. CrossrefGoogle Scholar30. Pflugge : Zur Entstehung des Phantomgliedes, Deutsche Ztschr. f. Nervenh. 154: 199, 1943. CrossrefGoogle Scholar31. GranitLeksellSkoglund RLCR: Fiber interaction in injured or compressed region of nerve, Brain 67: 125-140, 1944. CrossrefGoogle Scholar32. Russell W: Painful amputation stumps and phantom limb treated by repeated percussion to stump neuroma, Brit. M. J. 1: 1024-1026, 1947. CrossrefGoogle Scholar33. Pool JL: Posterior cordotomy for relief of phantom limb pain, Ann. Surg. 124: 386-391, 1946. CrossrefGoogle Scholar34. De Gutierrez-Mahoney CG: The treatment of painful phantom limb by removal of post-central cortex, J. Neurosurg. 1: 156-162, 1944. CrossrefGoogle Scholar35. EcholsColclough DHJA: Abolition of painful phantom foot by resection of the sensory cortex, J. A. M. A. 134: 1476-1477, 1947. CrossrefMedlineGoogle Scholar36. Stone TT: Phantom limb pain and central pain: relief by ablation of a portion of posterior central cerebral convolution, Arch. Neurol. and Psychiat. 63: 739-748, 1950. CrossrefMedlineGoogle Scholar37. Horrax G: Experiences with cortical excisions for relief of intractable pain in extremities, Surgery 20: 593-602, 1946. MedlineGoogle Scholar38. SunderlandKelly SM: Painful sequelae of injuries to peripheral nerves, Australian and New Zealand J. Surg. 18: 75-118, 1948. CrossrefMedlineGoogle Scholar39. Van Wagenen WP, quoted by J. E. Pisetsky.42 Google Scholar40. WattsFreeman JWW: Frontal lobotomy in the treatment of unbearable pain, A. Research Nerv. and Ment. Dis., Proc. 27: 715-722, 1948. MedlineGoogle Scholar41. WaughCameronHowarthMatas OSHFJCJ: Prefrontal leucotomy for painful phantom limb, Canad. M. A. J. 61: 364-367, 1949. MedlineGoogle Scholar42. Pisetsky JE: Disappearance of painful phantom limbs after electroshock therapy, Am. J. Psychiat. 102: 599-601, 1946. CrossrefMedlineGoogle Scholar43. PadovaniMansuy PL: Les moignons douloureux des membres, J. de chir. 63: 527-549, 1947. Google Scholar44. BellerPeyser AJE: Prefrontal lobotomy for phantom limb and phantom pain, J. Internat. Coll. Surgeons 16: 432-435, 1951. MedlineGoogle Scholar45. PadovaniBachet PM: Essais de psychtherapie de certaines douleurs des amputés, Presse méd. 57: 182, 1949. MedlineGoogle Scholar46. Cedercreutz C: Hypnotic treatment of phantom sensations in 100 amputees, Acta chir. Scandinav. 107: 158-162, 1954. MedlineGoogle Scholar47. Siehlow K: Electro-arm directed by sensation in phantom limb of arm amputees, Monatschr. f. Unfallheilk. 42: 234-235, 1951. Google Scholar48. Siehlow K: Experiences with phantom-guided electro-prosthesis (Vaduz arm), Ztschr. f. Orthop. 81: 473-486, 1951. Google Scholar49. Siehlow K: Vaduz arm, artificial electro-arm directed by feeling in phantom limb, Zentralbl. f. Chir. 76: 1128-1135, 1951. MedlineGoogle Scholar50. Wolff B: Neurology and reëducation for use of Vaduz electro-arm directed by feeling in phantom limb, Zentralbl. f. Chir. 76: 1135-1139, 1951. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Bronx, N. Y.*Received for publication July 29, 1955.From the Department of Physical Medicine and Rehabilitation, Veterans Administration Hospital, Bronx, N. Y., and the Department of Rehabilitation Medicine, Albert Einstein College of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPhantom Pain SyndromesPhantom Pain Syndromes“Phantom” carpal tunnel syndromeSUCCESSFUL TREATMENT FOR PHANTOM PAINPhantom Representations of Congenitally Absent LimbsPHANTOM REPRESENTATIONS OF CONGENITALLY ABSENT LIMBSCancer pain. Epidemiology and syndromesPhantom Limb Pain. A ReviewAmputees and phantom limb pain: A literature reviewChronic phantom and stump pain among american veterans: results of a surveyProblems Associated with Minor and Major Amputations of Lower Limbs Suffering from Arterial InsufficiencyThe Phantom Phenomenon in Amputated Finnish War VeteransUse and Abuse of Ambulation Training in Rehabilitation 1 April 1956Volume 44, Issue 4Page: 668-677KeywordsEtiologyHospital medicineRehabilitation medicine ePublished: 1 December 2008 Issue Published: 1 April 1956 PDF downloadLoading ...
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