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Article
March 11, 1905

THE SURGICAL ASPECTS OF MAJOR NEURALGIA OF THE TRIGEMINAL NERVE.A REPORT OF TWENTY CASES OF OPERATION ON THE GASSERIAN GANGLION, WITH ANATOMIC AND PHYSIOLOGIC NOTES ON THE CONSEQUENCES OF ITS REMOVAL.

Author Affiliations

Associate Professor of Surgery, the Johns Hopkins University. BALTIMORE.

JAMA. 1905;XLIV(10):773-779. doi:10.1001/jama.1905.92500370021001f
Abstract

The contents of this paper may be divided as follows:

1. A consideration of the various operative methods of approaching and of dealing with the ganglion.

2. Further points referable to an operative procedure heretofore described.

3. Histories of twenty personal cases thus operated on.

4. A discussion of the surgical complications and sequelæ of these cases.

5. Notes on the distribution and function of the fifth nerve deducted from postoperative observations.

6. Afterword: pathology.

Neuralgia Quinti Major.  (Tic douloureux. Epileptiform neuralgia.) This form of neuralgia has been placed in a group apart owing to the marked similarity that one case bears to another both in course and symptoms. In the earliest stages, each case appears to be one of simple neuralgia, and under this impression relief has been sought in removal of teeth or in other operative procedures. At last the full picture of this hideous disease unrolls,

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