Because Garber1 doubts that sympathetic fibers ever act as pain conductors he has criticized my2 use of the sympathetic nervous system to explain the subjective pain in the neck and shoulders in patients with vidian neuralgia. In addition he has stated that "the vidian nerve should not be considered as having anything to do with the neuralgic pains of Sluder's syndrome and a better explanation is afforded by regarding the maxillary nerve as the one involved."
Before answering his criticism and theory that the starting point of the reflex neuralgia about the head is the maxillary nerve and not the vidian nerve, it may be well to review briefly the syndrome which Sluder3 classed as Meckel's ganglion neuralgia and which I have called vidian neuralgia.4
In this form of neuralgia a sharp deep pain starts in the root of the nose, radiates in, about and
VAIL HH. PATHWAYS OF REFLEX PAIN IN VIDIAN NEURALGIA. Arch Otolaryngol. 1935;21(3):277–284. doi:10.1001/archotol.1935.00640020287004
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