If we hope to judge wisely as to how much good certain forms of treatment do for tic douloureux, we must know its natural history, which is not yet very fully understood. For though the disease is common, its origin is often unexplainable and there is none in which so much desperate effort is made to break up the course of the attacks and interfere with the natural symptoms. I have thought, therefore, that I could serve the purposes of this discussion best by devoting a good part of my time to this side of the subject.
It is one of the advantages of somewhat mature years that we are able to take a wider view of the course and of the history of the diseases as shown in our patients, and I have been able to make a close study of a number of my own cases from the
DANA CL. NATURAL HISTORY OF TIC DOULOUREUX, WITH REMARKS ON TREATMENT. JAMA. 1900;XXXIV(18):1100–1103. doi:10.1001/jama.1900.24610180012001d
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