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On Saturday, January 7, Dr. Edmund Andrews performed for the fourth time, at Mercy Hospital, Chicago, his operation for the removal of the Gasserian ganglion. The patient was a woman and furnished typical indications for the operation, having suffered for years with a tic douleureux of the right side. She had previously undergone two operations, she said, presumably section and avulsion of the nerve, with the usual result, viz: a return of the agonizing pains in the course of about two months. When Dr. Andrews first conceived the idea of such an operation,he had satisfied himself that these obstinate trigeminal neuralgias usually have their origin in defective teeth which give rise to a neuritis involving first the inferior dental nerve and gradually progressing until the entire inferior maxillary branch of the fifth nerve is involved, that it ascends as far as the semilunar ganglion and stops there, not being transmitted
ANDREWS E. REMOVAL OF THE GASSERIAN GANGLION.A Clinical Lecture Delivered at Merey Hospital. JAMA. 1893;XX(7):180–181. doi:10.1001/jama.1893.02420340014001c
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