. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . e simple technique which I elabor-ated on the basis of these observations is as follows : 1. I first, as a rule, induce a condition of cutaneousanaesthesia in the vicinity of the spinous processes ofthe tenth and eleventh dorsal vertebrae almost as largeas a silver dollar. This I do simply for the comfort ofthe patient and for no other purpose The electro-chemical method elaborated by me, or the hypodermicsyringe, may be employed for the purpose. 2. I now call into requisition a
. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . e simple technique which I elabor-ated on the basis of these observations is as follows : 1. I first, as a rule, induce a condition of cutaneousanaesthesia in the vicinity of the spinous processes ofthe tenth and eleventh dorsal vertebrae almost as largeas a silver dollar. This I do simply for the comfort ofthe patient and for no other purpose The electro-chemical method elaborated by me, or the hypodermicsyringe, may be employed for the purpose. 2. I now call into requisition a fine needle, aboutthree inches long, provided with a handle and a sliding 1 See the New York Medical Journal for November 6, 1886. 158 HEADACHE AND NEUKALGIA. nut (Fig. XII). The latter may be fixed at any portionof the continuity of the needle by means of the needle I thrust down (about half an inch laterally Fig. 12.—Exploratory Needle. from the spinous process of the tenth dorsal vertebrae)until the bone is reached. The nut is then pusheddown till it rests lightly upon the skin, (Fig. XIII) and. Fig. 13.—Showing Manner of Employing the Exploratory Needle. is secured in place by means of the screw. I thenwithdraw the is now clear, from what has already been said, SPINAL IRRITATION. 159 that the distance from the nut to the point of theneedle corresponds almost exactly with the distancefrom the surface of the integument to the cord. Tomake assurance doubly sure, however, I am in thehabit of subtracting two or three millimetres from themeasurement thus attained
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsleep, bookyear1894
