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Article
February 1933

VIDIAN NEURALGIA: WITH SPECIAL REFERENCE TO THE EYE AND ORBITAL PAIN IN SUPPURATION OF THE PETROUS APEX

Author Affiliations

CINCINNATI

Arch Otolaryngol. 1933;17(2):212-221. doi:10.1001/archotol.1933.03570050199006
Abstract

The real title of my paper should be this question, "Is the ocular pain typical of cases of suppuration of the apex of the petrous bone due to an irritation of the ophthalmic division of the fifth nerve?" This question may seem to be one raised through extreme ignorance. One has only to read the recent articles of Eagleton, Kopetzky and Almour, Profant, Friesner, Druss and Ramadier to conclude that the opinion is held by most authors that the ocular and orbital pains so typical of suppuration of the petrous apex are due to an irritation of the ophthalmic division of the gasserian ganglion.

Ramadier,1 who noted, as have others, the typical location of the ocular pain, asked why only the ophthalmic division should be affected when the focus of osteitis was in relation to the other parts of the trigeminal tract. He felt that the question up to

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