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December 23, 1939

PAROXYSMAL LACRIMATION DURING EATING AS A SEQUEL OF FACIAL PALSY: SYNDROME OF CROCODILE TEARS

JAMA. 1939;113(26):2310-2311. doi:10.1001/jama.1939.72800510001009
Abstract

My purpose in this report is to call attention again to an interesting condition of which only eight cases have previously been reported in the literature (Bogorad,1 1926, one case; Kroll,2 1929, one case; Kaminsky,3 1929, two cases; Ford,4 1933, four cases).

Essentially, the condition consists of a paroxysmal lacrimation every time the patient salivates during eating. It was called the "syndrome of the crocodile tears" by Bogorad, for the crocodile was formerly believed to weep hypocritical tears while devouring its victims. It occurs only after peripheral facial nerve palsies. It is not to be confused with lacrimation immediately after typical Bell's palsies, in which an ectropion is present permitting tears to run out of the conjunctival sac. In the following cases and those reported in the literature no ectropion is present and the tear duct puncta are patent.

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