Paralysis of the facial nerve through an unerupted premolar in the mandible

Paralysis of the facial nerve through an unerupted premolar in the mandible

972 QUARTERLY NEUROLOGICAL Principles of Treatment 241, 1948. for Migraine. REVIEW OF LITERATURE DISEASES J. R. Graham. OF THE FACE Dull. Sew ...

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972

QUARTERLY

NEUROLOGICAL Principles of Treatment 241, 1948.

for Migraine.

REVIEW

OF LITERATURE

DISEASES J. R. Graham.

OF THE FACE Dull.

Sew

England

The migraine symptom complex is one that follows its victim for its roots firmly embedded in the heredity background of the patient. resourceful, and sympathetic medical handling. To prevent attacks the most important considerations have to physical and emotional stresses in the patient’s life. The following common sources of headaches :

M. Center

10:

many years, and has It requires thorough, do with lessening the are some of the most

1. Getting up too late in the morning, so that the period between rising and the morning deadline of getting to the office or getting the children off to school is rushed and confused, setting up an atmosphere of tension for the day. These days are favorites for the 2. Sleeping too late on Sundays or holidays. occurrence of migaine attacks, and the latter may sometimes be avoided by having the patient get up at his usual hour and take a rest later on in the day. 3. Eating a very scanty breakfast and a qu.ick pick-up lunch, and settling down at the end of a tiring day to devour an unusually large dinner. A more even distribution of food energy during the day often proves beneficial. 4. Working steadily through the day without any breaks. A fifteen-minute period of relaxation in mid-morning and mid-afternoon is advised. 5. Staying up too late at night. 6. Insufficient time off and failure to take vacations. 7. A tendency to pack too many events into any one day or week. 8. An undue conscientiousness about neatness of the household or accuracy of work, coupled with an unwillingnes to delegate tasks to others. 9. Families living in too close quarters with in-laws. 10. A tendency to take on extra activities, such as extension courses and community or church functions, when the schedule is already overloaded. 11. A tendency to eat an excessive amount of carbohydrate food. 12. Consumption of chocolate. Chocolate is a common factor in producing It should be routinely eliminated in all forms from the migraine headache. K. H. T. patient’s diet for a period of at least three months.

Facialisllhmung durch retinierten Praemolaren im Unterkiefer. (Paralysis of the Facial R. Pfannenschmidt. Nerve Through an Unerupted Premolar in the Mandible.) Deutsche

Zahniirztl.

Ztschr.

3: 897, 1948.

The author describes a case of paralysis of the facial nerve which he believed He believes that due to an unerupted premolar which caused no local reaction. paralysis may be explained on the basis of connections which the sensory fibers trigeminal nerves are supposed to have with the nucleus of the facial nerve, situated fourth ventricle.

Trigeminal Tractotomy. 171, July, 1948.

W. B. Hamby, B. M. Shinners, and I. A. Marsh.

to be such a of the in the II. hf.

Arch. Surg. 57:

Forty-eight tractotomies were performed with a 16.6 per cent mortality rate. Thirty-five of the operations were done for relief of trigeminal neuralgia, with a 5.7 mortality rate. In the follow-up studies, 28 of the 33 survivors in the group with trigeminal neuralgia: Ten patients are free from pain, 5 have had 25 were examined and 3 responded by letter. occasional mild pain, and 6 have bearable recurrence of neuralgic pain. Seven (21 per cent) T. J. C. have suffered typical recurrences of pain, 6 of whom required rhizotomy.