Beschreibung
Göttingen, Dieterich, 1805, 4°, 46, (2) pp., 2 gefalt. Sepia-Kupfertafeln, Pappband der Zeit. INITIAL IMPULSE FOR THE SURGICAL TREATMENT OF FACIAL NEURALGIA K.A. Bushe First edition of this very scarce neurological treatise by one of the most distinguished surgeons of his day. It includes two striking sepia plates of the dissected head. The plates of the Tractatus are copiously numbered and referred to throughout the text. The work also includes a useful bibliography of neurological writings from Galen, Vesalius, Fallopius, and Willis to the eighteenth century and Winslow, Mayer, Meckel, Zinn, Wrisbery and Paletta. "The surgeon and anatomist Konrad Johann Martin Langenbeck (1776-1851) developed surgical measures for the treatment of facial pain, according to Fothergill, so-called quinti neuralgia, which were based on the results of Meckel. In his paper "Taractus Anatomico Chirurgicus de Nervis Cerebri in Dolore Faciei Consideratus" (Göttingen, 1803) he reported that the aetiology of this clinical entity was difficult to determine. In particular, it was not an inflammatoray pain since there was a complete lack of a pathological substrate and chiefly the second and third branches of the nerve are affected. Since conservative measures with mercury, belladona and even arsenic did not lead to success, he thought of influencing the pain by surgical procedures on the peripheral branches of the trigeminal nerve. In this way he achieved prolonged freedom of pain in several cases, but he also reports on recurrences. However, Langenbeck also evolved operative techniques in autopsy cases to influence the "tic convulsiv" of the facial nerve by resecting it at the stylomastoid foramen. Technically this was not difficult for him, for he was regarded as a quick and brilliant surgeon. This is confirmed by a surgeon who came from America to see him operate but could not do without a snuff of tobacco during the preparation for the extraarticulation of the shoulder: When he looked up, Langenbeck had already completed the procedure. Despite his hard work and great ability, he was unusually narrow minded and had a very high opinion of himself. It is said that he divided people into two categories, those who could operate and those who were operated on. Even at that time there was opposition from the younger generation in Göttingen, as his students, who knew him to be an early riser, countered with the words "One cannot conquer the world by rising earlier than other people." It remains to his credit that he gave the initial impulse for the surgical treatment of facial neuralgia. Later this was improved and modified by Dieffenbach and Fedor Krause, as well as by Spiller and Frazier. " K.A. Bushe, Fedor Krause Memorial Lecture. In. Neurosurgical Standards, Cerebral Aneurysms, Malignant Gliomas hrsg.v. Kurt Piscol, Margareta Klinger & Mario Brock (1992), pp.10-11 Hirsch III, p. 667; ; Garrison-McH. p.420; not in the Wellcome online catalogue, Waller, Osler, or Choulant; copies located at UCLA, Minnesota and NLM. Cat1-70. Bestandsnummer des Verkäufers 53963
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