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Phantom Limb: A Phenomenological Study

Published online by Cambridge University Press:  29 January 2018

G. D. Shukla
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
S. C. Sahu
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
R. P. Tripathi
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
D. K. Gupta
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India

Summary

Phantom limb phenomena during the post-operative period were studied in 72 amputees. All were right handed. Phantom limb was present in 86.1 per cent of the cases, significantly more commonly following amputation of the right arm. Nearly half of the phantoms developed within the first 24 hours and another quarter in the next 24 hours, appearing earlier in lower limb amputees. Movements in the phantom were felt by three-quarters of the cases, an incidence unaffected by site or side of amputation. Telescopy was present in nearly two-thirds and phantom limb pain in over two-thirds, significantly more commonly in the upper limb amputees but uninfluenced by the side of amputation. Thirty-one of the patients dreamed that their limbs were intact.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Apenzellar, O. & Bicknell, J. M. (1969) Effects of nervous system lesions on phantom experiences in amputees. Neurology, 19, 141–6.Google Scholar
Carlen, P. L., Wall, P. D., Hadvorna, M. D. & Steinbach, T. (1978) Phantom limb and related phenomena in recent traumatic amputations. Neurology, 28, 211–7.Google Scholar
Cronholm, B. (1951) Phantom limb in amputees. Acta Psychiatrica Neurologica Scandinavica (Supplement), 72, 1310.Google Scholar
De Gutierrez-Mahoney, C. G. (1970) The treatment of painful phantoms. Surgical Clinics of North America, 28, 705–8.Google Scholar
Devor, M. & Wall, P. D. (1976) Types of sensory nerve fibres sprouting to form a neuroma. Nature, 262, 705–8.Google Scholar
Elliott, F., Little, A. & Milbrandt, W. (1976) Carbamazepine for phantom limb phenomena (c). New England Journal of Medicine, 295, 678.Google Scholar
Frazier, S. H. & Kolb, L. C. (1970) Psychiatric aspects of phantom limb. Orthopaedic Clinics of North America, 1, 481–95.Google ScholarPubMed
Haber, W. B. (1955) Effects of loss of limb on sensory functions. Journal of Psychology, 40, 115–23.Google Scholar
Handerson, W. R. & Smyth, G. E. (1948) Phantom limb. Journal of Neurology, Neurosurgery and Psychiatry, 11, 88112.Google Scholar
Head, H. & Holmes, G. (1911) Sensory disturbances of cerebral lesions. Brain, 34, 102254.Google Scholar
Jacome, D. (1978) Phantom itching relieved by scratching phantom feet (c). Journal of the American Medical Association, 240, 2432.Google Scholar
Kolb, L. C. (1954) The Painful Phantom: Psychology, Physiology and Treatment. Springfield, Illinois: Charles C. Thomas.Google Scholar
Melzack, R. (1971) Phantom limb pain. Anaesthesiology, 35, 409–19.Google Scholar
Melzack, R. (1973) The Puzzle of Pain. Harmondsworth: Penguin.Google Scholar
Melzack, R. & Bromage, P. R. (1973) Experimental phantom limb. Experimental Neurology, 39, 261–9.Google Scholar
Mitchell, S. W. (1872) Injuries of Nerves and Their Consequences. Philadelphia: J. B. Lippincot.Google Scholar
Parkes, C. M. (1973) Factors determining the persistence of phantom pain in amputees. Journal of Psychosomatic Research, 17, 87108.Google Scholar
Shukla, G. D., Sahu, S. C., Tripathi, R. P. & Gupta, D. K. (1982) A psychiatric study of amputees. British Journal of Psychiatry, (Accepted for Publication), 141, 5053.Google Scholar
Solomon, G. F. & Schmidt, K. M. (1978) A burning issue: Phantom limb pain and psychological preparation of the patient for amputation. Archives of Surgery, 113, 185–6.Google Scholar
Soloren, K. A. (1962) The phantom phenomena in Finnish war veterans. Acta Orthopaedica Scandinavica (Supplement), 3, 119–25.Google Scholar
Sunderland, S. (1968) Nerves and Nerve Injuries. Baltimore: Williams and Wilkins.Google Scholar
Tooms, R. F. (1971) Amputations. In Campbell's Operative Orthopaedics. (ed. Crenshaw, A. H.), fifth edition, Vol. I. Tokyo: Igaku Shoin Google Scholar
Wall, P. D. & Gutnick, M. (1974) The physiology and pharmacology of impulses originating in a neuroma. Experimental Neurology, 43, 580–93.Google Scholar
Weinstein, S. & Sersen, E. A. (1961) Phantom in cases of congenital absence of limbs. Neurology, 11, 905–11.Google Scholar
Wilson, P. R., Person, J. R., Su, D. W. & Wang, J. K. (1978) Herpes zoster reactivation of phantom limb pain. Mayo Clinic Proceedings, 53, 336–8.Google Scholar
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