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July 18, 1885


JAMA. 1885;V(3):72-73. doi:10.1001/jama.1885.02391030016004

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Such is the title of an important and interesting paper read by Dr. Wilhelm Hack at the Fourth Annual Congress of Internal Medicine held last April at Wiesbaden, Germany. This address forms the latest contribution to our knowledge of certain reflex phenomena which have been carefully studied by French, German, English and American rhinoscopists. We refer to certain neurosal conditions, notably hemicrania and asthma, which are found to be occasioned reflexly by diseased states of the nasal mucous membrane. Attention was first directed to this possibility by Voltolini, who reported the cure of a case of asthma by the removal of a nasal polypus. Similar observations were subsequently made, and the subject was discussed, by Hänisch, Fränkel, Hack, Bresgen, Sommerbrodt, Porter, Daly, Todd, Spencer, Mulhall, Joal, Jacquin, Mackenzie, Eslberg and others in Europe and America. It was speedily discovered that not merely asthma and hemicrania, but also cough, supraorbital neuralgia,

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