The Surgery of the Skull and Brain

by Louis Bathe Rawling

Hysterical neuralgia.

NEURALGIA MINOR

This variety is almost invariably dependent in its development on some exciting cause. In some cases this cause is readily demonstrated, in others great difficulty may be experienced before the source is discovered.

These secondary neuralgias may be regarded as resulting from the following injuries and diseases.

Diseases of the tongue, fauces, and pharynx. For example, the pain referred to the lingual nerve in epithelioma of the tongue.

Diseases and injuries of the maxillæ. For example, the neuralgia associated with dental caries.

Injuries and diseases of the nose and its accessory cavities. For example, the infra-orbital pain experienced in empyema of the antrum.

Injuries and diseases of the bones of the skull. For example, the pain referred along the course of those nerves emerging through the basal foramina involved in a fracture of the base of the skull.

Errors of refraction. For example, neuralgia of the supra-orbital nerve.

Anæmia, influenza, alcoholism, Bright’s disease, cold, worry, malaria (brow-ague), rheumatism, &c.