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October 1932

La neurotomie rétro-gassérienne partielle dans le traitement de la névralgie faciale (étude anatomique—résultats cliniques).

Arch NeurPsych. 1932;28(4):966-967. doi:10.1001/archneurpsyc.1932.02240040211020

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Abstract

Sicard has reviewed briefly but thoroughly the anatomy of the sensory and motor roots of the trigeminal nerve. The indications for section of the sensory root and the methods employed are outlined.

After a short description of the clinical material on which the conclusions are based, Sicard reviews the history of the operative procedures used to section the sensory root. Beginning with the removal of the gasserian ganglion as originally suggested by Krause and Hartley, in 1894, the methods of sectioning the fifth nerve are described. Spiller and Frazier's retrogasserian section of the sensory root through the temporal fossa is outlined, followed by Frazier's two modifications of his technic—to save the motor root and to leave behind the inner fibers supplying the ophthalmic division, thereby preventing keratitis in the ipsolateral eye. Finally, Dandy's subtentorial approach and subtotal section of the sensory root in the posterior fossa are reviewed. Curiously, the

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