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THENEUROLOGICASPECTS OFINFECTIONS OF THENASALSINUSES. DR. SIMON L. RUSKIN (by invitation).
Many manifestations of disease of the sinuses usually attributed to absorbable toxins are not necessarily due to this but can be traced to irritation of the nerves from an inflamed mucous membrane. The effects need not be on adjacent structures, but remote effects may be produced through pathways which at first glance appear to be impossible, yet which may be traced by a fairly direct route. The paper of Dr. Ruskin dealt with the latter condition.
Neurogenic disturbances arising from infections of the sinuses were classified as follows: (1) acute pains in inflammation of the sinuses, (2) chronic neuralgia, (3) vasomotor and secretory states and (4) systemic effects induced chiefly through the vegetative nervous system.
The nerve tracts concerned are the trifacial, the facial and the vegetative system. The symptoms arising from the seventh