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August 17, 1889


JAMA. 1889;XIII(7):235-236. doi:10.1001/jama.1889.02401050019004

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Five years have elapsed since Dr. Wilhelm Hach's monograph: " Ueber eine Operative Radical-Behandlung Bestimmter Formen von Migräne, Asthma, Heufieber," etc., aroused, in those not intimately familiar with the possibilities in the case, a sense of skepticism by reason of the multiplicity and diversity of the pathological reflexes which were described as emanating from the nose. Certain forms of asthma, spasm of the glottis, cough, migraine, supra-orbital neuralgia, swelling and redness of the external nose, syncope, and epileptoid seizures, were attributed to nasal irritation, occasioned by hypertrophy of the turbinated bodies, polypus, and intra-nasal deformity. His observations were, in part, corroborative of those previously published by Dr. Daly, Dr. J. M. Mackenzie, and Dr. Fränkel, while the remaining ones have since been confirmed and supplemented by other writers.

Two essays reiterating these conditions, entitled respectively, " Cough in its Relations to Morbid States of the Nasal Cavities," and "Epilepsy Caused by Intra-Nasal

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