MadSci Network: Neuroscience |
It is true that cortical and subcortical brain tissue, when injured during surgery, will react (to clear away debris, swell, etc.) in a way that is not communicated to other parts of the brain that monitor pain, and that so-called "pain receptors" that react to painful stimuli in the skin are not present in brain tissue (see "Molecular mechanisms of nociception" by D. Julius and AI Basbaum in the journal Nature vol 413, p. 203, September 2001). However, to access the brain, incisions must be made through skin, fascia, bone, and the membranes that cover the brain (dura and pia mater, plus the arachnoid). Vessels and nerves in these extra brain structures contain plentiful pain receptors, so that brain surgery will often involve considerable postoperative pain, including headaches.
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