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October 1, 1904


JAMA. 1904;XLIII(14):941-942. doi:10.1001/jama.1904.92500140001d

At this time and place one may not report opinions or cases which are merely conventional, and the report of the following five cases in four patients is permissible only because of the exceptions to the rules in two of them. All were cases of trigemina! neuralgia, in all the pain had been of considerable duration, and had gradually become so severe as to be unbearable. In all four patients the third branch was involved, in two the second branch as well, and in one all three branches. In two patients the results were conventional. Complete and lasting relief followed the operation. In two patients, one of whom had two operations, there were exceptional, unconventional accompaniments.

In the first case the exceptional element was a complete and permanent paralysis of the facial nerve, noticed first the morning after the operation. In this patient the pain had been limited to the

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