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March 21, 1931


Author Affiliations


JAMA. 1931;96(12):913-916. doi:10.1001/jama.1931.02720380001001

From a personal experience with 654 major operations for major trigeminal neuralgia, tic douloureux, I am convinced that from every point of view—relief to the patient, the almost total elimination of operative hazards and complications, and the invisible scar—the operation is one from which the surgeon derives greater satisfaction than after any other surgical experience.

In the neurosurgical clinic of the Hospital of the University of Pennsylvania an exceptional opportunity has been afforded to observe neuralgias of the trigeminal system. Ever since Spiller in 1898 proposed section of the sensory root as a substitute for excision of the ganglion of Gasser, I have followed this method and, more because of my associate Dr. Spiller's suggestion than for any other reason, an exceptional number of patients have been referred to this clinic for surgical relief. In this period of approximately thirty years, 1,317 cases of major trigeminal neuralgia have been admitted

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