The anatomical and clinical relations of the sphenopalatine (Meckel's) ganglion to the nose and its accessory sinuses / by Greenfield Sluter.

  • Sluder, Greenfield, 1865-1928.
Date:
[1909]
Catalogue details

Licence: In copyright

Credit: The anatomical and clinical relations of the sphenopalatine (Meckel's) ganglion to the nose and its accessory sinuses / by Greenfield Sluter. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    this picture complicated by or associated with other headaches; but the distinctive “neuralgic phenom- ena” as outlined before, and which have proved uni- formly amenable to treatment (cocainization from the nose), have not extended to the upper part of the head. I have observed also concurrent saliva- tion and perversion of the sense of taste (described as metallic), referred to the affected side, and, not infrequently, earache, toothache, or pain behind the eye. I have observed also, in some cases, a sore throat, described as on the affected side, of which no visible explanation was found in the throat, and in which prompt relief was afforded by the application of co- caine in the neighborhood of the sphenopalatine foramen. I have on four occasions thought I detected motor disturbances in the soft palate, but of this I am not sufficiently sure to permit a positive state- ment. I have never seen trophic changes. By way of experiment I anaesthetized the ganglion in a case of convulsive motor tic, and in one of sensory tic, with- out result. I herewith submit some reports of cases, each of which seems illustrative in its way. Case T.—Miss S., twenty-seven years old. consulted me June r.i, 1906. For many years, “off and oh,” she had suf- fered from pain in the head, which she described as par- oxysmal. beginning at the root of the nose, involving the upper jaw and teeth (occasionally also the lower jaw and teeth), extending backward to the tip of the mastoid, and becoming intensest about 5 cm. posterior to this point. These paroxysms recurred sometimes two or three times a week; and, when at her best, at intervals of two or three months. Examination of the nose was negative in every particular. She made the observation, however, during an attack, that the cocaine which had been sprayed into the nose, a four per cent, solution, had relieved her of the pain.