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- W1968366168 abstract "T RIGEMINAL neuralgia has been recognized as a definite clinical ent i ty since the middle of the eighteenth century. Various authors have given credit to a Frenchman, Andr6,1 for his early description of this disease, but writings of theGreeks and Romans indicated that they too were well aware of this painful affection of the face. Fothergill, 2 in his analysis of the various types of pain in the face, presented many accurate and careful observations on what we recognize today as trigeminal neuralgia, but wrote: What therefore I have to offer upon the nature of this disease is rather subnlitted to your consideration as mat ter of farther inquiry, than as opinions sufficiently established. To this day, the etiology in the great majority of instances remains unknown and not all of the answers as to the best form of therapy are at hand. Pioneers of the surgical approach for the control of facial pain in the distribution of the 5th cranial nerve were Horsley (1891), Hart ley (189~), Krause (189~), Tiffany (1894), Cushing (1900), Keen, Spiller and Frazier (1901), and numerous others. Many surgical refinements of the early procedures have been offered more recently, but all of these resulted in numbness in the anatomic distribution of the severed posterior sensory root. Taarnh0j 's 6 paper in 195~ presented a new solution to the problem of pain: merely decompressing the posterior part of the ganglion and the posterior sensory root. This t reatment seemed to control the pain and at the same time preserve the sensation in the face. Immediately this simple neurosurgical procedure was applied in many cases of" @default.
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- W1968366168 date "1963-03-01" @default.
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- W1968366168 title "Structural Changes in the Trigeminal System Following Compression Procedures" @default.
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- W1968366168 doi "https://doi.org/10.3171/jns.1963.20.3.0181" @default.
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