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A TECHNIC OF INJECTION INTO THE GASSERIAN GANGLION UNDER ROENTGENOGRAPHIC CONTROL

A TECHNIC OF INJECTION INTO THE GASSERIAN GANGLION UNDER ROENTGENOGRAPHIC CONTROL Abstract The modern operation of section of the posterior root of the fifth cranial nerve for trigeminal neuralgia is one of the greatest achievements of surgery. There are series of hundreds of cases on record with a mortality of less than 1 per cent. The operation has become so standardized and so satisfactory that, in the United States at least, few attempts have been made to find any substitute for it. It has, however, certain undeniable disadvantages. In the first place, the mortality can be kept low only by a certain degree of selection of cases. In the second place, section of the root is a major operation entailing discomfort and a period of disability, which should not be taken lightly. In the third place, the results of operation cannot be predicted in cases which are at all atypical, and many a surgeon is haunted by one or more "gasserian ghosts" References 1. Harris, W.: Observations on the Treatment of Trigeminal Neuralgia: Alcohol Injection or Operation , Brit. M. J. 2:87, 1932.Crossref 2. Härtel, F. F.: Zur Punktion des Ganglion Gasseri , Zentralbl. f. Chir. 60:310, 1933. 3. Irger, I. M.: Alcohol Injections of Gasserian Ganglion for Trigeminal Neuralgia , Ann. Surg. 100:61, 1934.Crossref 4. Zander, P.: Erfahrungen bei Trigeminusneuralgie, insbesondere mit der Ganglionverödung nach Härtel , Arch. f. klin. Chir. 178:242, 1933. 5. Zenker, R.: Die Behandlung der Trigeminusneuralgie durch Tiefenelektrokoagulation des Ganglion Gasseri nach Kirschner , Med. Welt 8:14, 1934. 6. Stiasny, H.: Alkoholinjektion in das Ganglion Gasseri bei Kieferkarzinomen unter Röntgenkontrolle , Zentralbl. f. Chir. 60:1764, 1933. 7. This anesthetic has been widely used in Germany with few reported fatalities. It was supplied by the Winthrop Chemical Company of New York. 8. Gama, C.: Novos aperfeiçoamentos da technica da alcoolisaçã do ganglio de Gasser , Bol. Soc. de med. e cir. de São Paulo 13:336, 1929. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

A TECHNIC OF INJECTION INTO THE GASSERIAN GANGLION UNDER ROENTGENOGRAPHIC CONTROL

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1936.02260010102007
Publisher site
See Article on Publisher Site

Abstract

Abstract The modern operation of section of the posterior root of the fifth cranial nerve for trigeminal neuralgia is one of the greatest achievements of surgery. There are series of hundreds of cases on record with a mortality of less than 1 per cent. The operation has become so standardized and so satisfactory that, in the United States at least, few attempts have been made to find any substitute for it. It has, however, certain undeniable disadvantages. In the first place, the mortality can be kept low only by a certain degree of selection of cases. In the second place, section of the root is a major operation entailing discomfort and a period of disability, which should not be taken lightly. In the third place, the results of operation cannot be predicted in cases which are at all atypical, and many a surgeon is haunted by one or more "gasserian ghosts" References 1. Harris, W.: Observations on the Treatment of Trigeminal Neuralgia: Alcohol Injection or Operation , Brit. M. J. 2:87, 1932.Crossref 2. Härtel, F. F.: Zur Punktion des Ganglion Gasseri , Zentralbl. f. Chir. 60:310, 1933. 3. Irger, I. M.: Alcohol Injections of Gasserian Ganglion for Trigeminal Neuralgia , Ann. Surg. 100:61, 1934.Crossref 4. Zander, P.: Erfahrungen bei Trigeminusneuralgie, insbesondere mit der Ganglionverödung nach Härtel , Arch. f. klin. Chir. 178:242, 1933. 5. Zenker, R.: Die Behandlung der Trigeminusneuralgie durch Tiefenelektrokoagulation des Ganglion Gasseri nach Kirschner , Med. Welt 8:14, 1934. 6. Stiasny, H.: Alkoholinjektion in das Ganglion Gasseri bei Kieferkarzinomen unter Röntgenkontrolle , Zentralbl. f. Chir. 60:1764, 1933. 7. This anesthetic has been widely used in Germany with few reported fatalities. It was supplied by the Winthrop Chemical Company of New York. 8. Gama, C.: Novos aperfeiçoamentos da technica da alcoolisaçã do ganglio de Gasser , Bol. Soc. de med. e cir. de São Paulo 13:336, 1929.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jan 1, 1936

References