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ATYPICAL FACIAL NEURALGIA

ATYPICAL FACIAL NEURALGIA Abstract A large group of patients have atypical facial neuralgia characterized by severe boring, at times burning, pain, not limited to the distribution of a cranial nerve but occurring back of the eye, over the zygoma, cheek or nose and occasionally over the mastoid region and down the neck. It cannot be brought on by touching or moving the area and is not lancinating as is trigeminal neuralgia. This syndrome is often temporarily relieved by cocainizing the sphenopalatine ganglion, and Sluder, who first described the condition, thought that permanent relief was sometimes obtained by the injection of alcohol into that ganglion. I have seen patients relieved after cocainization but not after injection of alcohol. Hypotheses as to the production of this pain are many. Davis and Pollock1 stated the belief that they had disproved experimentally the existence of afferent sympathetic fibers. It was their opinion that stimulation of the efferent sympathetic References 1. Davis, L. E., and Pollock, L. J.: The Role of the Sympathetic System in the Production of Pain in the Head , Arch. Neurol. & Psychiat. 27:282 ( (Feb.) ) 1932 2. The Role of the Autonomic Nervous System in the Production of Pain , J. A. M. A. 106:350 ( (Feb. 1) ) 1936. 3. Davis, L. E.: Deep Sensibility of the Face , Arch. Neurol. & Psychiat. 9:283 ( (March) ) 1923. 4. Kuntz, A.: The Autonomic Nervous System , ed. 2, Philadelphia, Lea & Febiger, 1934, p. 476. 5. Fay, T.: Atypical Facial Neuralgia , Ann. Otol., Rhin. & Laryng. 41:1030, 1932. 6. Reichert, F. L.: Buccal Neuralgia: A Form of Atypical Facial Neuralgia of Sympathetic Origin , Arch. Surg. 41:475 ( (Aug.) ) 1940. 7. Woollard, H. H.; Weddell, J., and Harpman, J. A.: Observations on the Neurohistological Basis of Cutaneous Pain , J. Anat. 74:413, 1940. 8. Waterston, D.: On Pain , Lancet 1:943, 1933. 9. Horton, B. T.; MacLean, A. R., and Craig, W. M.: A New Syndrome of Vascular Headache: Results of Treatment with Histamine; Preliminary Report , Proc. Staff Meet., Mayo Clin. 14:257, 1939. 10. Penfield, W., and McNaughton, F.: Dural Headache and Innervation of the Dura Mater , Arch. Neurol. & Psychiat. 44:43 ( (July) ) 1940. 11. Fenton, R.: Pathways of Referred Pain from the Nose , Am. J. Surg. 42:194, 1938. 12. Larsell, O., and Fenton, R. A.: Sympathetic Innervation of the Nose , Arch. Otolaryng. 24:687 ( (Dec.) ) 1936. 13. Blier, Z.: Physiology of the Sphenopalatine Ganglion , Am. J. Physiol. 93:398, 1930. 14. Allen, W. F.: Experimental Studies on the Visceral Bulbo-Spinal Pathway in the Cat and Guinea Pig , J. Comp. Neurol. 42:393, 1927. 15. Christensen, K.: Innervation of the Mucous Membrane of the Nose , Tr. Am. Laryng., Rhin. & Otol. Soc. 42:363, 1936. 16. Sewall, E. C.: Surgical Removal of the Sphenopalatine Ganglion , Ann. Otol., Rhin. & Laryng. 40:79, 1937. 17. Vogel, K.: Histopathologische Befunde am Ganglion sphenopalatinum mit besonderer Berücksichtigung der atrophischen Rhinitiden , Ztschr. f. Hals-, Nasen- u. Ohrenh. 22:507, 1929. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

ATYPICAL FACIAL NEURALGIA

MARTIN, ROBERT C.
Archives of Otolaryngology , Volume 35 (5) – May 1, 1942
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References (22)

Publisher
American Medical Association
Copyright
Copyright © 1942 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1942.00670010742004
Publisher site
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Abstract

Abstract A large group of patients have atypical facial neuralgia characterized by severe boring, at times burning, pain, not limited to the distribution of a cranial nerve but occurring back of the eye, over the zygoma, cheek or nose and occasionally over the mastoid region and down the neck. It cannot be brought on by touching or moving the area and is not lancinating as is trigeminal neuralgia. This syndrome is often temporarily relieved by cocainizing the sphenopalatine ganglion, and Sluder, who first described the condition, thought that permanent relief was sometimes obtained by the injection of alcohol into that ganglion. I have seen patients relieved after cocainization but not after injection of alcohol. Hypotheses as to the production of this pain are many. Davis and Pollock1 stated the belief that they had disproved experimentally the existence of afferent sympathetic fibers. It was their opinion that stimulation of the efferent sympathetic References 1. Davis, L. E., and Pollock, L. J.: The Role of the Sympathetic System in the Production of Pain in the Head , Arch. Neurol. & Psychiat. 27:282 ( (Feb.) ) 1932 2. The Role of the Autonomic Nervous System in the Production of Pain , J. A. M. A. 106:350 ( (Feb. 1) ) 1936. 3. Davis, L. E.: Deep Sensibility of the Face , Arch. Neurol. & Psychiat. 9:283 ( (March) ) 1923. 4. Kuntz, A.: The Autonomic Nervous System , ed. 2, Philadelphia, Lea & Febiger, 1934, p. 476. 5. Fay, T.: Atypical Facial Neuralgia , Ann. Otol., Rhin. & Laryng. 41:1030, 1932. 6. Reichert, F. L.: Buccal Neuralgia: A Form of Atypical Facial Neuralgia of Sympathetic Origin , Arch. Surg. 41:475 ( (Aug.) ) 1940. 7. Woollard, H. H.; Weddell, J., and Harpman, J. A.: Observations on the Neurohistological Basis of Cutaneous Pain , J. Anat. 74:413, 1940. 8. Waterston, D.: On Pain , Lancet 1:943, 1933. 9. Horton, B. T.; MacLean, A. R., and Craig, W. M.: A New Syndrome of Vascular Headache: Results of Treatment with Histamine; Preliminary Report , Proc. Staff Meet., Mayo Clin. 14:257, 1939. 10. Penfield, W., and McNaughton, F.: Dural Headache and Innervation of the Dura Mater , Arch. Neurol. & Psychiat. 44:43 ( (July) ) 1940. 11. Fenton, R.: Pathways of Referred Pain from the Nose , Am. J. Surg. 42:194, 1938. 12. Larsell, O., and Fenton, R. A.: Sympathetic Innervation of the Nose , Arch. Otolaryng. 24:687 ( (Dec.) ) 1936. 13. Blier, Z.: Physiology of the Sphenopalatine Ganglion , Am. J. Physiol. 93:398, 1930. 14. Allen, W. F.: Experimental Studies on the Visceral Bulbo-Spinal Pathway in the Cat and Guinea Pig , J. Comp. Neurol. 42:393, 1927. 15. Christensen, K.: Innervation of the Mucous Membrane of the Nose , Tr. Am. Laryng., Rhin. & Otol. Soc. 42:363, 1936. 16. Sewall, E. C.: Surgical Removal of the Sphenopalatine Ganglion , Ann. Otol., Rhin. & Laryng. 40:79, 1937. 17. Vogel, K.: Histopathologische Befunde am Ganglion sphenopalatinum mit besonderer Berücksichtigung der atrophischen Rhinitiden , Ztschr. f. Hals-, Nasen- u. Ohrenh. 22:507, 1929.

Journal

Archives of Otolaryngology – American Medical Association

Published: May 1, 1942

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