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February 4, 1911


JAMA. 1911;LVI(5):335-339. doi:10.1001/jama.1911.02560050021006

For the privilege of observing and treating these cases I am indebted to the courtesy of Drs. Baker, Behrens, Bliss, Boislinière, Butler, Falk, Fry, Graves, Hauck, Hoge, Kennerly, and Remme.

It is important that the surgeon who intends to treat this form of neuralgia be able to diagnose the condition when present and to differentiate it from other painful affections, which might more or less closely counterfeit the genuine tic douloureux; otherwise he will miss appropriate cases or will throw obloquy on a valuable procedure by using it under inappropriate circumstances.

A very slight acquaintance with the symptoms of the disease will exclude the possibility of not recognizing it when present. The recognition of its counterfeits is in most cases quite as simple, but may be so difficult as ultimately to baffle the most skilful and painstaking neurologists.

There were certain common features present in all of the true trifacial

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