Diseases of the nervous system .. . muscle indura-tions—these hard points areusually regarded as such—orwhether, as I suspect, there areonly radiating sensations fromthe suprascapular nerves pass-ing through the deep musclesof the neck, is do we know whethertrue swelling of the lymph-glands and, above all, swellingof the sympathetic of the neck,occurs in this affection as hasbeen maintained by some au-thors. I have never been abledefinitely to demonstrate a rule the pains are re-stricted to the region of theaffected muscles and to thefascia, but not infrequentlythere
Diseases of the nervous system .. . muscle indura-tions—these hard points areusually regarded as such—orwhether, as I suspect, there areonly radiating sensations fromthe suprascapular nerves pass-ing through the deep musclesof the neck, is do we know whethertrue swelling of the lymph-glands and, above all, swellingof the sympathetic of the neck,occurs in this affection as hasbeen maintained by some au-thors. I have never been abledefinitely to demonstrate a rule the pains are re-stricted to the region of theaffected muscles and to thefascia, but not infrequentlythere is very acute pain in theforehead during the attack, al-though nodules are but rarely noted in the frontalis. Possibly we may herebe dealing with irradiation of sensation, radiating pains. The examination of the insertions of the muscles should never he neg-lected in any case of headache. Since we know that thermic influences play an important role in theetiology of the disease we can almost always detect the causative Fig. -The Points Upon which IndurationsARE MOST Frequently Found. Tluis, an elderly lady who had been suffering for years from severe headache becamein the course of time completely debilitated, for no treatment gave her any was compelled to give up her flourishing business, and to be content with moremoderate means. Upon examining the head and neck, the previously mentioned indu-rations were found, and the history showed that she had been suffering in the winterfor years from innumerable attacks of cold caused by the opening of the door whichled into her store. Here suitable therapeutic measures brought only amelioration; acure was impossible. 866 HEADACHE AND MIGRAINE If the physician does not bear in mind this frequent form of headache,he may fall into grave error. Some years ago a lady who usually lived ina sub-tropical region consulted me for an unbearable neuralgia of thehead which distressed her day and night. She had long be
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