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THE SURGICAL TREATMENT OF INTRACTABLE CASES OF BLEPHAROSPASM

E. S. GURDJIAN, M.D., Ph.D.; HENRY WARD WILLIAMS, M.D.
JAMA. 1928;91(26):2053-2056. doi:10.1001/jama.1928.02700260019005.
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Organic blepharospasm as such or as an expression of facial hemispasm is a condition of importance from the standpoint of treatment. The treatment depends for its success on attacking the etiologic factor involved in the production of the disease, as will be discussed subsequently. However, there are always a few cases the etiology of which cannot be determined and which are absolutely refractory to most methods of treatment, unless heroic measures are employed. In this paper we shall describe three cases of blepharospasm and detail the treatment that it was found necessary to institute in order to alleviate the condition.

REPORT OF CASES 

Case 1.  —L. R. L., a man, aged 38, who had had organic blepharospasm for two years, stated that during the last six months his illness had become practically unbearable. The eyes were shut most of the time. Even at night in bed or on waking in

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