Facial Pain: A Clinical Study With Special Reference to the Symptomatology, Aetiology, and Surgical Therapy

C. Keith Whittaker, MD
JAMA. 1965;194(10):1156-1157. doi:10.1001/jama.1965.03090230124062.
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While this paperback monograph will not appeal to a general medical readership, neurosurgeons may find it of interest. The clinical experience with hospitalized patients over a roughly three-year period is inspected with meticulous detail. All patients presenting with facial pain the author has divided into three groups: typical trigeminal neuralgia ("paroxysmal,... lasting for seconds, and periods of complete freedom from pain"), atypical trigeminal neuralgia ("longer lasting pains of a different character during the intervals" or "paroxysmal pain lasting for minutes"), and non-neuralgiform pain ("constant" or "attacks... for hours or days"). In each of these three groups nearly every possible characteristic of pain is evaluated for intergroup comparison. Regarding the importance of the temporomandibular joint to facial pain, the study is impaired by lack of convincing objective evidence for the diagnosis of "arthrosis." Finally, the results of surgical treatment of 473 patients with trigeminal neuralgia and 144 patients with non-neuralgiform pain


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