One and a half centuries ago, Fothergill1 spoke before the Medical Society of London on the subject of "A Painful Affection of the Face." Fothergill's paper described rather accurately the symptoms of trigeminal neuralgia. He stated that "to be able to distinguish and to cure with some degree of certainty, a disease that during the time it lasts is extremely excruciating, is an addition, however small, to the utility of our profession."
I have searched the literature with the hope that others more learned had reached concrete conclusions as to the factors behind the auricular neuralgias. In this I have been somewhat disappointed. The only clinical case that I can find which showed the same symptoms as those in the case I am about to report, both in character and limitation of involvement, is that reported by Harris,2 in 1915, occurring in a man, aged 54, who for
Hall GW. AURICULAR NEURALGIA. Arch NeurPsych. 1933;29(3):615-618. doi:10.1001/archneurpsyc.1933.02240090185011