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April 1928

ATYPICAL NEURALGIAUNSUCCESSFUL ATTEMPTS TO RELIEVE PATIENTS BY OPERATIONS ON THE CERVICAL SYMPATHETIC SYSTEM

Author Affiliations

PHILADELPHIA

Arch NeurPsych. 1928;19(4):650-659. doi:10.1001/archneurpsyc.1928.02210100079007
Abstract

In the neurosurgical clinic of the University Hospital, major trigeminal neuralgia and atypical forms of neuralgia, because of the wealth of material, have occupied a considerable amount of the time of the attending staff. The files contain records of 1,287 cases, of which 1,083 were classified as typical (major trigeminal neuralgia) and 204 as atypical. Altogether, the major operation has been performed 458 times. I have felt it more or less incumbent to issue a statement as to the nature of these atypical forms of neuralgia (a paper on this subject is in process of preparation) and to publish experiences with operations on the cervical sympathetic system for relief from pain.

Sympathectomies of one kind or another might be said to be the last venture in surgery as a means of relieving pain, though years ago Jonnesco proposed removal of the cervical sympathetic ganglion for relief in trigeminal neuralgia. It

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