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GREAT OCCIPITAL-TRIGEMINUS SYNDROME AS REVEALED BY INDUCTION OF BLOCK

GREAT OCCIPITAL-TRIGEMINUS SYNDROME AS REVEALED BY INDUCTION OF BLOCK Abstract THIS TRIPARTITE syndrome presents symptoms (1) confined to the distribution of the great occipital nerve, (2) shared by the trigeminus, or (3) shown by the trigeminus alone, as a nociceptor to passive stimulation by the vulnerable great occipital nerve. In every case alcohol block (Fig. 1) relieved all symptoms. Pinprick verification of numbness was made in all cases; it presaged relief lasting 6 to 12 months, permanent relief being more frequent than recurrence. At times the needle piercing the great occipital nerve produced pain radiating to the homolateral supraorbital notch (Fig. 1; Table 3). Most of the items in Table 3, together with relief of all symptoms on block of the great occipital nerve, suggest a functioning contact between the great occipital nerve and the trigeminus. According to Ramón y Cajal,* only those fibers derived from the ophthalmic division of the trigeminus reach the lowest level (C 2) of the References 1. Ramón y Cajal, cited by Kuntz.1 2. Personal communication to the author. 3. An arrangement somewhat resembling that of the lateral femoral cutaneous nerve when inflamed (meralgia paresthetica) with irritation of the lumbar plexus, each nerve traversing a dense iter. 4. The symptom to which the designation tic douloureux was first applied. 5. Kuntz, A.: A Text-Book of Neuro-Anatomy , Ed. 4, Philadelphia, Lea & Febiger, 1945, p. 239. 6. Chambers, W. R.: Posterior Rhizotomy of the Second and Third Cervical Nerves for Occipital Pain , J. A. M. A. 155:431 ( (May 29) ) 1954.Crossref 7. Skillern, P. G.: Suprascapular Nerve Syndrome as Revealed by New (Anterior) Approach in Induction of Block , A. M. A. Arch. Neurol. & Psychiat. 71:185 ( (Feb.) ) 1954. 8. Treves, F.: Surgical Applied Anatomy , revised by Lambert Rogers, Ed. 12, Philadelphia, Lea & Febiger, 1952, p. 124. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

GREAT OCCIPITAL-TRIGEMINUS SYNDROME AS REVEALED BY INDUCTION OF BLOCK

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1954.02330030069007
Publisher site
See Article on Publisher Site

Abstract

Abstract THIS TRIPARTITE syndrome presents symptoms (1) confined to the distribution of the great occipital nerve, (2) shared by the trigeminus, or (3) shown by the trigeminus alone, as a nociceptor to passive stimulation by the vulnerable great occipital nerve. In every case alcohol block (Fig. 1) relieved all symptoms. Pinprick verification of numbness was made in all cases; it presaged relief lasting 6 to 12 months, permanent relief being more frequent than recurrence. At times the needle piercing the great occipital nerve produced pain radiating to the homolateral supraorbital notch (Fig. 1; Table 3). Most of the items in Table 3, together with relief of all symptoms on block of the great occipital nerve, suggest a functioning contact between the great occipital nerve and the trigeminus. According to Ramón y Cajal,* only those fibers derived from the ophthalmic division of the trigeminus reach the lowest level (C 2) of the References 1. Ramón y Cajal, cited by Kuntz.1 2. Personal communication to the author. 3. An arrangement somewhat resembling that of the lateral femoral cutaneous nerve when inflamed (meralgia paresthetica) with irritation of the lumbar plexus, each nerve traversing a dense iter. 4. The symptom to which the designation tic douloureux was first applied. 5. Kuntz, A.: A Text-Book of Neuro-Anatomy , Ed. 4, Philadelphia, Lea & Febiger, 1945, p. 239. 6. Chambers, W. R.: Posterior Rhizotomy of the Second and Third Cervical Nerves for Occipital Pain , J. A. M. A. 155:431 ( (May 29) ) 1954.Crossref 7. Skillern, P. G.: Suprascapular Nerve Syndrome as Revealed by New (Anterior) Approach in Induction of Block , A. M. A. Arch. Neurol. & Psychiat. 71:185 ( (Feb.) ) 1954. 8. Treves, F.: Surgical Applied Anatomy , revised by Lambert Rogers, Ed. 12, Philadelphia, Lea & Febiger, 1952, p. 124.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Sep 1, 1954

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