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Article
July 1938

TIC DOULOUREUXPARTIAL SECTION OF THE ROOT OF THE FIFTH CRANIAL NERVE; A COMPARISON OF THE SUBTEMPORAL AND CEREBELLAR APPROACHES FROM SURGICAL AND PHYSIOLOGIC STANDPOINTS

Author Affiliations

IOWA CITY
From the Department of Surgery of the College of Medicine, State University of Iowa.

Arch Surg. 1938;37(1):74-99. doi:10.1001/archsurg.1938.01200010079005
Abstract

The development of a surgical cure for tic douloureux presents one of the most brilliant chapters in the history of surgery of the nervous system and indicates step by step how surely and definitely progress may be made.1

At the present time there are two cleancut operative procedures by which the sensory root of the fifth nerve may be sectioned partially or entirely, producing a cure of the hideous malady and entailing a negligible mortality in experienced hands.

There is some controversy concerning the relative merits of the two procedures, and I felt the need of a comparative study by one person.

Many interesting and important problems arise, both theoretic and practical, when an incomplete section of the fifth root is considered. I wish to suggest possible explanations for certain paradoxes and discrepancies in results and to report that my experiences have confirmed the fact that "tic douloureux," at

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