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Respiratory depression inducing drugs

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#ENT

✨ The anterior ethmoidal nerve syndrome:

is a name suggested for a series of symptoms resulting from irritation of the terminal branches of the anterior ethmoidal nerve.
The referred pains arising from this nerve are chiefly of the sinus type but may also take the form of headache, sometimes of a migrainous character.

The attack is irregular in its development but may be more or less constant, suggesting pressure in the ethmoid slit, probably from a hyper- plastic lesion in the nose.

The anterior ethmoid nerve lies superficially in the nasal mucosa and is thus readily subjected to noxious agents.

The diagnosis was confirmed by abolishing the pain on application of cocaine to the point of entry of the nerve into the nasal fossa In 1931 Charlin presented 14 cases of the syndrome of the nasociliary nerve.

He described four characteristics of the syndrome as follows:
1. One-sided acute rhinitis with excessive rhinorrhoea.
2. Oculo-orbital neuralgia, usually extreme.
3. Lacrimation and acute inflammation of external part of the eye, with possibly keratitis and corneal ulceration.
4. Prompt relief and cure by cocainization of anterior ethmoid region which is inflamed and swollen.
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