I report here a series of eight cases in each of which there was a similar pathologic condition in the maxillary sinus on the affected side. The pathologic process was recognized only by means of antroscopic examination. All other examinations—roentgen and nasal examination and transillumination—gave negative results. My experience with this major trigeminal neuralgia prompts me to suggest a pathology that may explain the presence of pain, which is most intense.
Tic douloureux is not a rare disease and is said to be only slightly less common than sciatica. The three characteristics of the condition are: (1) the short duration of the pain; (2) its paroxysmal nature with complete relief between attacks, and (3) the fact that, with few exceptions, it is unilateral. Pain beginning as a dull ache and increasing in intensity and gradually subsiding is not major neuralgia. Any pain of more than two or
ELLIS CW. HAS TIC DOULOUREUX A DEFINITE ETIOLOGY? Arch Otolaryngol. 1932;15(2):218–221. doi:10.1001/archotol.1932.03570030235004
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