. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. rthy ofrecord here. In 5 cases following novocain injections there was pain in thehead for several days following, which Hartel attributes to an asepticmeningitis, and in i case reported by Hartel there was a septicmeningitis; the termination of this case is, however, not given. Thisresult, he believes, due to the use of a solution made from tablets, 62 2 LOCA
. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. rthy ofrecord here. In 5 cases following novocain injections there was pain in thehead for several days following, which Hartel attributes to an asepticmeningitis, and in i case reported by Hartel there was a septicmeningitis; the termination of this case is, however, not given. Thisresult, he believes, due to the use of a solution made from tablets, 62 2 LOCAL AXESTHESLA. and concludes that only those solutions prepared in ampules shouldbe used. This appears to me as hardly the explanation, as a tabletsolution can be rendered as absolutely sterile as when prepared inany other way. This is of interest in connection with the fact thatrecently, in EngUsh literature, appeared a report of extensive slough-ing occurring, following the use of an old but re-sterilized solution ofnovocain, which result was repeated when again tested on the armof the operator. Herpes Facialis.—An elderly gentleman was referred to me suf-fering from an unusually aggravated case of herpes of the first division. Fig. 239.—Result of removal of one-half of inferior maxilla under regionalanesthesia for malignancy. (Case of Prof. Matas.) of the fifth nerve; the eye was much inflamed and gave him con-siderable and almost constant pain. The distribution of the variousbranches of the first division were clearly outlined upon the side ofthe nose, upper lid, forehead and scalp as far back as the occiputby the shrunken condition of the skin which alternated in colorbetween a pale, bloodless white, and a livid red. This affected areawas the seat of an almost constant burning pain. This conditionhad existed for eleven months and had practically invalided thepatient. Little if any relief had been obtained from the variousmeasures which had been applied. The case had com
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