Removal of the Gasserian ganglion as the last of fourteen operations in thirteen years for tic douloureux / by W.W. Keen and John K. Mitchell.

  • Keen, William W. (William Williams), 1837-1932.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Removal of the Gasserian ganglion as the last of fourteen operations in thirteen years for tic douloureux / by W.W. Keen and John K. Mitchell. 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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    REMOVAL OF THE GASSERIAN GANGLION AS THE LAST OF FOURTEEN OPERATIONS IN THIR- TEEN YEARS FOR TIC DOULOUREUX. By W. W. keen, M.D.. PROFEJBOR OF THE PRINCIPLES OF SURGERY AND OF CLINICAL SURGERY IN JEFFERSON MEDICAL COLLEGE ; SURGEON TO THE ORTHOPAEDIC HOSPITAL AND INFIRMARY FOR NERVOUS DISEASES, ETC., AND JOHN K. MITCHELL, M.D., PHYSICIAN TO ST. AGNES' HOSPITAL ; ASSISTANT PHYSICIAN TO THE ORTHOPEDIC «gBW7AND INFIRMARY FOR NERVOUS DISEASES, PHILADELPHIA. [Read February 14, 1894.] Medical History by Dr. Mitchell J. T. K., aged forty-one years; married ; dental surgeon. Unti year he was in excellent health, and had no indications of any tendency to neuralgic disease. The history was in every way a good one up to the begin- ning of the present trouble, with the exception that he was born after a labor prolonged for four days. The patient was small but strongly built, though when first seen in a much reduced state physically, and in a condition of severe nervous and moral prostration. There is a marked difference in the color of the two eyes, the right one being brown and the left blue. In 1880, without any previous warning, he had a sudden attack of violent pain in the right upper jaw, nearly limited to one tooth. This came on during a meal. The tooth was extracted, but the pain continued in the socket from which the tooth was withdrawn until this healed, when the pain began in another tooth, and the process was repeated until three were drawn. Only one of these, the twelve-year-old molar, which had been filled some years before with tin and amalgam, was found in an unhealthy condition. The roots were perfectly dry and the foramen very much enlarged. Some portions of the alveolar process, it is said, came away with the extraction of this tooth, and this was also dry and unhealthy-looking. The following summer a portion of bone of that alveolar margin was removed for necrosis. After the parts were healed the pain ceased, with the exception that occasion- ally at the side of the molar tooth a sharp pain, like that of an exposed nerve, was felt if the part were touched. This also disappeared during the following few months. In February, 1881, while washing his face, the patient felt a pain shoot