City Hospital, Blackwell's Island, Medical and surgical report. ...

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Page 126 - I assume that the inflammatory process has extended to the auditory nerve which is enveloped in the same sheath, and courses in the same canal as the facial nerve. Each of these groups has separately been the subject of careful study by many observers; but their intimate clinical relationship to one another, their common pathology and their common seat of origin, the geniculate ganglion of the facial nerve, has not heretofore been recognized. I have already expressed my belief that the geniculate...
Page 162 - ... (they are much more common in tuberculosis). The reaction of the exudation upon the capillaries themselves is most important. The vessels are primarily — 1. Congested and proliferated, and secondarily — 2. Thrombosed, " their former site being marked by solid cords, groups of irregularly disposed cells with pale staining nuclei and giant cells with peripheral or central nuclei or both...
Page 143 - For example, large ganglion-cells of irregular shape, with branching processes, which have been called " motor," are found in the anterior horns of the gray matter of the spinal cord...
Page 124 - HUNT, JR On herpetic inflammations of the geniculate ganglion: A new syndrome and its complications.
Page 104 - ... is that in the third week after operation there may be a mild and temporary recrudescence of the rheumatic symptoms, whereas in the two weeks immediately after operation there had been a complete cessation of all such symptoms.
Page 108 - A New Operative Method to Expose the Seminal Vesicles and Prostate for Purposes of Extirpation and Drainage.
Page 125 - I would attribute to the peculiar location and relations of the ganglion involved. Clinically the cases of geniculate herpes resolve themselves into three groups. The simplest expression of the disease is a herpes of the auricle and external auditory canal. Within this skin area is to be found the zoster zone for the geniculate ganglion. In another group of cases there is added to the aural herpes a paralysis of the facial nerve. This I explain by pressure of the inflamed ganglion or in some cases...
Page 132 - At this stage the orifice of the external auditory 587 canal may become constricted by the swollen soft parts, so as to interfere with the proper drainage and cleansing of the canal. The defect in hearing which may result from this temporary occlusion of the meatus, is purely mechanical and is not in any sense related to the disturbances of audition which accompany another group of cases and which is dependent upon involvement of the auditory nerve. In a few days the vesicles dessicate, the swelling...
Page 136 - ... adjacent to the posterior horns. Evidences of regeneration were also found in the branches of the superficial cervical plexus. Such pathological changes both in character and distribution are in accord with the findings in similar cases. It is, however, to the facial nerve that I would particularly direct attention. The facial nerve, including the nerve of Wrisberg, from its exit at the medulla to its entrance at the internal auditory canal, was treated by the osmic acid method and cut in transverse...
Page 159 - An increase in blood vessels and consecutive changes in their walls; 2, cellular infiltration; 3, involvement of the connective tissue; 4, secondary epidermic changes. Many causes have been assigned to the hardness of the sclerosis, as capillary lymphangitis with suffusion of the neighboring connective tissue...

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