Headache caused by pathologic conditions of the nose and its accessory sinuses / by Gerhard H. Cocks and John E. MacKenty.

  • Cocks, Gerhard Hutchison.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Headache caused by pathologic conditions of the nose and its accessory sinuses / by Gerhard H. Cocks and John E. MacKenty. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    receives filaments from the infraorbital nerve by means of its superior dental branches. The frontal sinus is supplied by twigs from the supraorbital and the nasal nerves; the ethmoidal air cells, by minute branches from the nasal; and the sphenoidal sinus, by filaments from the spheno-palatine ganglion. We see, therefore, why, in the case of frontal-sinus disease, pain is referred to a point in the forehead over the anterior wall of the sinus, corresponding to the distribution of the supraorbital nerve. In the same way, in the case of the maxillary antrum—which, as we have just seen, is supplied by twigs from the infraorbital nerve—we can account for the pain being felt in the cheek and in the teeth. Hajek has suggested that there is set up a kind of neuritis of the nerve in question. When we try to explain why pain from disease of the sphenoidal sinus is usually experienced in the occiput, we fail to find any reason why sensory impulses coming from this par- ticular sinus to Meckel’s ganglion should be experienced as pain in the occipital region. The paths of the afferent nerve fibres in this locality have not yet been accurately worked out. We have tried to show from the study of these cases what an important place the nose and its accessory sinuses occupy in the production of headache, and how necessary it is to carefully examine these organs when confronted with an obscure case.
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