The surgical treatment of facial neuralgia.

  • Hutchinson, J. (Jonathan), 1859-1933.
Date:
1905
Catalogue details

Licence: Public Domain Mark

Credit: The surgical treatment of facial neuralgia. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    line. These attacks came on shortly before each menstrual period, recurred during the succeeding two or three weeks, and left her with a free interval only of a week or so; but the attacks were not increasing in intensity, nor were they of the explosive character of epileptiform neuralgia: on the other hand, the pain would last for some days continuously, and sometimes numbness or pain of one side of the body would accompany it. The case was evidently one in which, in an anaemic woman, neurasthenia, due to poor living and repeated pregnancies, was to blame, and one in which operation was quite out of the question. Again, any case of persistent neuralgia, in which there is a strong, neurotic, inherited tendency, is unlikely to benefit by operation. A man, aged 30, was seen by Dr. Henry Head and myself on account of severe pain in the left side of the forehead. It was not typically epilep- tiform, but came on from time to time, and appeared to be situated in the frontal bone itself. His wife stated that he was strange in his manner during the attacks and she feared he would become homicidal. The patient had a dull, heavy expression, and the history was that his mother had died insane. He had never suffered from syphilis, and nothing abnormal could be found on examination of the forehead, eye, or nose. The region of the frontal sinus was, however, specially tender, and in the hope that some cause might be