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June 1930


Author Affiliations

Assistant Professor of Neurology, College of Physicians and Surgeons, Columbia University ; Attending Physician to the Neurological Institute, New York NEW YORK

Arch Ophthalmol. 1930;3(6):748-754. doi:10.1001/archopht.1930.00810080094007

Herpes zoster of the ophthalmic division of the fifth nerve is a subject which has received much mention in medical writings. Its etiology, however, has been vaguely discussed, and the important rôle played by syphilis has been seriously overlooked.

The nervous origin of herpes zoster was announced by von Bärensprung1 in 1861, and he proved it further by postmortem examination a few years later. Though his anatomic conceptions of the posterior root ganglions were incorrect at this time, the pathologic localization was permanently established.

Herpes zoster opthalmicus was first described by Jonathan Hutchinson2 in 1866, and since that time the literature has elaborated itself so extensively that I shall not attempt a review of it. Only such papers as are pertinent to the specific origin of the condition will be quoted in this paper.

The trigeminal nerve is called a mixed nerve, though its motor root

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