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February 1942

"CROCODILE TEARS" TREATED BY INJECTION INTO THE SPHENOPALATINE GANGLION

Author Affiliations

Norristown, Pa.; Philadelphia

Arch NeurPsych. 1942;47(2):314-315. doi:10.1001/archneurpsyc.1942.02290020130011
Abstract

REPORT OF CASE 

History.  —J. R., a white man aged 23, an American, three hours after a fishing trip noticed paralysis of the right side of his face. He could neither smile nor chew effectively. There were moderate drooling and salivation. Two days later the right side of his face became "screwed up," and he could not straighten his face. There was difficulty in eating, talking and chewing. About two years later he noticed that whenever he ate anything tears would roll spontaneously from his right eye. He could not control this, although he was told that it was just a matter of "will power." The lacrimation continued for three years, and medication was of no avail. Facial motor power had returned almost completely.

Examination.  —Objectively, the patient showed good recovery of the facial musculature, although the right side of the face was slightly "ironed out." There was no ectropion.

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