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The Spine 325 PAIN -NEUROSURGICAL MANAGEMENT 255 Secondary somato- sensory cortex VPL Thalamus VPM thalamus Intralaminar nuclei Neurone in trigeminal ganglion (V) at level of pons Spinal tract of V Spinal nucleus of V Reticular formation Neurone in dorsal root ganglion Ascending and decending fibres in Lissauer's tract Receptor endings for painful and thermal stimuli Sensory cortex Parietal lobe Ventral trigemino- thalamic tract Medulla Spinothalamic tract Spinal cord Spinal cord Lateral spinothalamic tract Ventral white commisure Lateral spinothalamic tract Lissauer's tract Substantia gelatinosa Fig.

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