Two years ago I reported sixteen cases of trifacial neuralgia treated by deep injections of alcohol,1 and four months later I briefly reported seven additional cases.2 The method was new, scarcely known in this country; and, further than the fact that injections into the nerve instantly stopped the pain, not many definite statements could be made either for or against it, although it promised well. Even now it is so unfamiliar to the medical public that, having employed it for nearly three years, I feel that my results should be reported.
Needless to say, by trifacial neuralgia I mean neuralgia of one or more branches of the fifth or trifacial nerve; not migraine, which often is called neuralgic headache; not sinus disease; not anything but classical tic douloureux. That the patients with this malady suffer horribly is known to all. That a treatment simple, effective and devoid of danger is