A manual of the injuries and surgical diseases of the face, mouth, and jaws.

  • Marshall, John Sayre, 1846-1922.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: A manual of the injuries and surgical diseases of the face, mouth, and jaws. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    431/750 (page 403)
    1. Superficial. 2. Visceral. 3. Migraine and the migrainoid headaches. The siipcrhcial variety of neuralgia is limited to the course and area of distribution of a single superficial nerve or group of nerves, like tlie sciatic and the trifacial. The z'isccral forms of neuralgia are less definitely localized by the sensations of the patient than in the superficial variety, and as these nerves are deep-seated it is dififiicult to indicate which are at fault. Migraine is a complex sensory neurosis characterized by pain in various locations of the cranium; the occipital region, the vertex, the frontal, or the temporal region. Causes.—The causes of neuralgia may be divided into two forms, predisposing and exciting. The predisposing causes are,— 1. Hereditary tendencies. 2. Periods of life at which certain critical changes take place. 3. Influences associated with sex. 4. The effects of constitutional diseases, such as anemia, gout, rheumatism, phthisis, diabetes, nephritis, malaria, syphilis, and metallic poisoning. The exciting causes are,— 1. Atmospheric conditions, as indicated by a low barometer; and the local action of heat and cold. 2. Injuries and direct irritation of the nerves. 3. Indirect irritation of the nerves (reflex). 4. Acute febrile diseases. Predisposing^ Causes.—Hereditary Tendencies: The fact of the in- heritance of neuralgic tendencies by certain families who give other signs of a neuropathic taint, is so well established that it does not admit of question. The tendency is most marked in the case of migraine, and other periodic headaches. It is also noticed in visceral neuralgias, and particularly so in facial neuralgias, though less marked in the other forms of superficial neuralgias. (Putnam.) Age: Age is an important factor in the predisposition to neural- gic affections, which are most common in middle life, and at those periods which mark the growth and the decline of the sexual functions. According to Anstie, these conditions when once established are in- clined to continue into advanced age, but fortunately cases beginning at this period are relatively rare, though exceedingly intractable. Childhood and youth are usually exempt from superficial neural- gias, though migraine and periodic headaches may develop in children of neurotic temperament. These conditions may later in life give way to more serious neuroses.