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September 1972

Trigeminal Neuralgia.

Arch Otolaryngol. 1972;96(3):292-293. doi:10.1001/archotol.1972.00770090414026

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This monograph is the result of an international workshop attended by 27 physicians and scientists, which took place in 1967.

The book is divided into three main sections corresponding to the neuronal organization of the trigeminal system: the peripheral (sensory) neuron; the medullary neuron; and the supranuclear structures.

Section A, dealing with the peripheral (outside the brainstem) neuron, details the gross anatomy of the trigeminal root and gasserian ganglion, and the light and electron microscopy of the primary trigeminal neuron. Results, complications, and mechanisms of action of rhizotomy and decompressive operations are discussed. The remainder of this section deals with the differential diagnosis of trigeminal neuralgia, and atypical facial neuralgia. For the clinician, the contents of this first section underscore the absolute necessity of a detailed history and thorough physical examination. Trigeminal neuralgia may be the result of disease for which the otolaryngologist is first consulted, eg, cerebellopontine angle tumors

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