Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
Neuralgia may be defined as a disease of the nervous system, manifesting
itself by pains which, in the great majority of cases, are unilateral,
and which appear to follow accurately the course of particular nerves,
and ramify, sometimes into a few, sometimes into all, the terminal
branches of those nerves. These pains are usually sudden in their onset,
and of a darting, stabbing, boring, or burning character; they are at
first unattended with any local change, or any general febrile
excitement. They are always markedly intermittent, at any rate at first;
the intermissions are sometimes regular, and sometimes irregular; the
attacks commonly go on increasing in severity on each successive
occasion. The intermissions are distinguished by complete, or almost
complete, freedom from suffering, and in recent cases the patient
appears to be quite well at these times; except that, for some short
time after the attack, the parts through which the painful nerves ramify
remain sore, and tender to the touch. In old-standing cases, however,
persistent tenderness, and other signs of local mischief, are apt to be
developed in the tissues around the peripheral twigs. Severe neuralgias
are usually complicated with secondary affections of other nerves which
are intimately connected with those that are the original seat of pain;
and in this way congestions of blood vessels, hypersecretion or arrested
secretion from glands, inflammation and ulceration of tissues, etc., are
sometimes brought about.
The above is a general description of neuralgia which will identify the
disease sufficiently for the purpose of introducing it the attention of
the reader. We must now proceed to give a more accurate account of its
_Clinical History and Symptoms._--These vary so greatly in different
kinds of neuralgia that it will be necessary to discuss the greater part
of this subject under the headings of the special varieties of the
disease. There are certain common features, however, in all true
neuralgias.
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