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October 1946

NEURALGIC SYNDROMES OF THE HEADAnatomy and Physiology of Sensory Nerves to the Head

Author Affiliations

From the Department of Neurosurgery, Jefferson Medical College and Hospital.

Arch Otolaryngol. 1946;44(4):424-442. doi:10.1001/archotol.1946.00680060445007

THE FIRST, second, third, fourth, sixth, eighth, tenth, eleventh and twelfth cranial nerves have no sensory components for pressure, pain, touch or temperature so far as any one knows. This leaves the fifth and the ninth cranial nerve with the intermediary nerve as the only ones capable of carrying painful stimuli from the anterior part of the head to the brain. The sensory patterns of the fifth and ninth cranial nerves are well established and need not be discussed. However, there has always existed some question as to whether or not the intermediary nerve is capable of carrying painful stimuli from the periphery to the brain. The pain about the ear which frequently accompanies Bell's palsy suggests that some element of the facial nerve mechanism may transmit the afferent impulses, since it is pretty well established that the facial and acoustic nerves themselves are entirely free of elements conveying pain,

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