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December 8, 1945


JAMA. 1945;129(15):1045. doi:10.1001/jama.1945.02860490057022

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To the Editor:—  Referring to Dr. S. B. Nadler's article on "Paroxysmal Temporal Headache" (The Journal, September 29, p. 334), I wish to call attention to my experience with 4 cases during the past year. Each case presented the clinical picture of paroxysmal hemicephalalgia as described by Dr. Nadler, with the major distribution in the temporal area. The pain was dramatically relieved by procaine infiltration of the great occipital nerve at a point corresponding to the point of maximum tenderness in the suboccipital area on the same side. Pain in each case was permanently relieved without any surgical intervention or arterial section.

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