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August 28, 1909


Author Affiliations


JAMA. 1909;LIII(9):706-712. doi:10.1001/jama.1909.92550090002002j

One has only to glance over the literature covering the subject of trifacial neuralgia to realize the state of mind in which the medical profession has been in regard to the pathology and treatment of that most painful affection. It is well known that the more uncertainty there is as to the etiology and pathology of a disease the more varied is the treatment and the less uniform are the results. Rarely do we see anything approaching specific treatment of a disease unless the inciting cause and the resulting reaction are known.

The suffering occasioned by trifacial neuralgia has been such as to have excited for years the interest of physicians in the endeavor to find some means of permanent relief. The treatment of the disease has varied according as the ideas of the cause and pathology have varied, and it does not seem probable that the