Most published studies of phantom limb sensations and related phenomen
a deal with subjects: first, who have been amputated accidentally or s
urgically, and second who have undergone a large denervation of a livi
ng limb. Although the mechanism responsible for the generation of phan
tom feelings is not well understood, prolonged experience with a limb
is believed to be necessary for the formation of the cortical represen
tation of the limb, which is presumed to underlie the body schema and
the experience of the phantom. For this reason, several researchers ha
ve suggested that children with congenital limb deficiency or congenit
al aplasia (those born without all or part of a limb) do not experienc
e phantom limb sensations. Contrary to these suggestions, the present
study describes the character of phantom limb, phantom limb pain, and
related phenomena in a 12-year old intelligent and reliable boy, born
with idiopathic congenital absence of the right forearm above the elbo
w.