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VACUUMFRONTALHEADACHE. Presented by DR. JOHN A. CAVANAUGH.
History.—A girl, aged 19, consulted me because of pain over the left eye, which began two days before; it had come on gradually, and when the head was moved quickly pain became sharp. It had been severe the previous day, and the left side of her nose felt stopped up. She had used a spray of epinephrine, which had given her some relief. There was no discharge from the nose; when she moved her eyes from side to side or up or down, the pain increased. The left side of the head felt heavy.
Examination.—The teeth appeared normal. Her tonsils had been partially removed; the remaining portions appeared normal. There were large follicles over the pharyngeal wall and some remains of adenoid tissue.
On the right side of the nose there was marked deviation of the septum to the