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June 1933

PAROXYSMAL LACRIMATION DURING EATING AS A SEQUEL OF FACIAL PALSY (SYNDROME OF CROCODILE TEARS)REPORT OF FOUR CASES WITH A POSSIBLE INTERPRETATION AND COMPARISON WITH THE AURICULOTEMPORAL SYNDROME

Author Affiliations

BALTIMORE

From the Neurological Clinic, Johns Hopkins Hospital.

Arch NeurPsych. 1933;29(6):1279-1288. doi:10.1001/archneurpsyc.1933.02240120102008
Abstract

My purpose in this paper is to draw attention to an interesting phenomenon which has been observed in four cases of facial paralysis of peripheral type. In each case the paralysis was complete and persisted for several months. Regeneration of the nerve and return of power in the face were accompanied by facial contracture and abnormal associated movements. Coincidently with the return of voluntary movement, excessive lacrimation on the affected side appeared whenever the patient ate or even took any sapid substance into the mouth. This phenomenon never appeared under other circumstances. It may be said at once that this symptom bears no relation to the common overflow of tears from the affected eye during the early stages of facial palsies when the lower lid is relaxed and the punctum of the tear duct is everted. Under such circumstances the tears collect in the culdesac of the conjunctiva and eventually

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