Surgical treatment of trigeminal neuralgia

A history of early strides toward curing a cancerous acrimony

Robert Kellogg, Courtney Pendleton, Alfredo Quinones-Hinojosa, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The pain of trigeminal neuralgia is considered one of the worst in human experience. Therefore, its treatment has been of special importance in the history of medicine and surgery. Long after physicians began prescribing various herbs and medication for trigeminal neuralgia, surgeons attempted to relieve it by cutting out parts of the nervous system they deemed responsible for the pain. Between the mid-19th and early 20th centuries, several surgeons pioneered surgical procedures aimed at the peripheral and central nervous system. Harvey Cushing contributed the most to increase the safety of these neurosurgical techniques. Due to Dr Cushing's meticulous clinical observation and operative record keeping, we are able to selectively review his newly discovered patient records at Johns Hopkins and Peter Bent Brigham Hospitals and provide insight into the early history and evolution of trigeminal neuralgia surgery. We also review the contributions of other surgeons from the same period.

Original languageEnglish
Pages (from-to)1419-1425
Number of pages7
JournalNeurosurgery
Volume67
Issue number5
DOIs
StatePublished - Nov 2010

Fingerprint

Trigeminal Neuralgia
History of Medicine
Pain
Peripheral Nervous System
Nervous System
Therapeutics
Central Nervous System
History
Observation
Physicians
Safety
Surgeons

Keywords

  • Harvey Cushing
  • Microvascular decompression
  • Surgery
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Surgical treatment of trigeminal neuralgia : A history of early strides toward curing a cancerous acrimony. / Kellogg, Robert; Pendleton, Courtney; Quinones-Hinojosa, Alfredo; Cohen-Gadol, Aaron.

In: Neurosurgery, Vol. 67, No. 5, 11.2010, p. 1419-1425.

Research output: Contribution to journalArticle

Kellogg, Robert ; Pendleton, Courtney ; Quinones-Hinojosa, Alfredo ; Cohen-Gadol, Aaron. / Surgical treatment of trigeminal neuralgia : A history of early strides toward curing a cancerous acrimony. In: Neurosurgery. 2010 ; Vol. 67, No. 5. pp. 1419-1425.
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