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Nerve Route Hypothesis Revived

Nerve Route Hypothesis Revived A voice from the past encouraged formulation of a hypothesis concerning taste, lacrimation, and facial pain, a New England physician told the Congress of Neurological Surgeons. Ernest Sachs, Jr, MD, assistant professor of neurosurgery, Dartmouth Medical School and Hitchcock Clinic, Hanover, NH, said that in sectioning the nervus intermedius between the VII and VIII cranial nerves of a woman with atypical facial neuralgia, the patient (under local anesthesia) inadvertently jumped, and the VII (facial) nerve was torn. "In the course of ascertaining that hemostasis was complete," he continued, "when the remaining VIII cranial nerve was touched, she again had ear and face pain." After careful checking to make sure that stimulation of blood vessels, or dura, or some other factor was not involved, he said, "with the patient's acquiescence, the VIII nerve was sectioned also, after which the pain could not be reproduced." Clinical Evidence On the basis of this http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Nerve Route Hypothesis Revived

JAMA , Volume 198 (7) – Nov 14, 1966

Nerve Route Hypothesis Revived

Abstract


A voice from the past encouraged formulation of a hypothesis concerning taste, lacrimation, and facial pain, a New England physician told the Congress of Neurological Surgeons.
Ernest Sachs, Jr, MD, assistant professor of neurosurgery, Dartmouth Medical School and Hitchcock Clinic, Hanover, NH, said that in sectioning the nervus intermedius between the VII and VIII cranial nerves of a woman with atypical facial neuralgia, the patient (under local anesthesia) inadvertently...
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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1966.03110200022011
Publisher site
See Article on Publisher Site

Abstract

A voice from the past encouraged formulation of a hypothesis concerning taste, lacrimation, and facial pain, a New England physician told the Congress of Neurological Surgeons. Ernest Sachs, Jr, MD, assistant professor of neurosurgery, Dartmouth Medical School and Hitchcock Clinic, Hanover, NH, said that in sectioning the nervus intermedius between the VII and VIII cranial nerves of a woman with atypical facial neuralgia, the patient (under local anesthesia) inadvertently jumped, and the VII (facial) nerve was torn. "In the course of ascertaining that hemostasis was complete," he continued, "when the remaining VIII cranial nerve was touched, she again had ear and face pain." After careful checking to make sure that stimulation of blood vessels, or dura, or some other factor was not involved, he said, "with the patient's acquiescence, the VIII nerve was sectioned also, after which the pain could not be reproduced." Clinical Evidence On the basis of this

Journal

JAMAAmerican Medical Association

Published: Nov 14, 1966

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