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June 8, 1907

Paralysis Following Removal of Gasserian Ganglion.

JAMA. 1907;XLVIII(23):1955. doi:10.1001/jama.1907.02520490047017

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San Francisco, May 27, 1907.

To the Editor:  —In The Journal, May 11, Dr. Miles A. Porter reports a case of paralysis of the facial nerve after the removal of the Gasserian ganglion for tic douloureux.In The Journal, Dec. 7, 1901, I reported a similar case. My patient was the first on whom I had done the operation, and the technic was practically that of the Hartley-Krause operation, with the high incision, the osteoplastic flap and the non-interference with the zygoma.In the report of my case of paralysis of the seventh nerve following an operation on the ganglion of the fifth, I excluded certain possible rough causes, and ended by offering no explanation for the occurence. I am in the same position to-day. I do not know why it happened. My patient, who must have been operated on in 1897 or 1898, is, I believe, alive and well

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