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Article
January 1, 1910

INTRACRANIAL NEURECTOMY OF THE SUPERIOR AND INFERIOR MAXILLARY NERVES FOR TIC DOULOUREUX

JAMA. 1910;LIV(1):41-42. doi:10.1001/jama.1910.92550270001001n

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Abstract

History.  —H. L. B., aged 68, applied for surgical treatment July 18. Patient gave a history of a most terrible tic douloureux of the left face and head from which he had suffered the most intense pain for ten years. He said further that he had had periodic attacks for thirty-five years, but the continuous pain had been present for nine or ten years. Until five years ago the area supplied by the ophthalmic division of the fifth nerve had been the one most affected, especially the infraorbital branch, and he had submitted to an operation in Omaha, where this nerve was divided. This gave no relief, but rather intensified the pain in the area supplied by the supratrochlear and supraorbital branches of the first division and the superior and inferior maxillary divisions. While the patient was in the hospital for three days previous to the operation he showed slight

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