Chapter 5 - Diseases of the Brain and Nerves
A Picture of Perfect Health - Diagram
Muscles of the Neck and Face - Diagram 1
Muscles of the Neck and Face - Diagram 2
Internal View of Base of Cranium - Diagram
Cross-section of Head - Diagram
Base of the Brain - Diagram
Cross-section of Head - Diagram
View of Skull - Diagram
Introduction to Diseases of the Brain and Nerves
Inflammation of the Dura Mater
Inflammation of the Arachnoid and Pia Mater
Brain Fever
Softening of the Brain
Abscess of the Brain
Induration of the Brain
Tumors of the Brain
Delirium Tremens
Effects of Alcohol on Stomach and Kidneys - Diagram
Effects of Alcohol on Stomach and Kidneys
Enlargement of the Brain
Shrinking of the Brain
Water in the Head
Dropsy of the Brain
CerebroSpinal Fever
Diseases of the Spinal Cord
Inflammation of the Spinal Cord
Paralysis of One Side of the Body
Paralysis of Lower Part of the Body
Local Palsy
Shaking Palsy
Lead Palsy
Muscular and Nervous Derangements from Wounds
Locked Jaw
St. Vitus' Dance
Chronic Chorea
Pains of Nerves
Tic Douloureux
Dizziness of the Head
Locomotor Ataxia

5.45 Tic Douloureux

IT occurs in those branches of the fifth pair of nerves which go to the face. Sometimes one, sometimes all of the three branches are affected, but more often the middle branch only. When the upper branch is the seat of the disease, the pain is in the forehead, the brow, the lid, and sometimes the ball of the eye. The eye is generally closed during the pain, and the skin of the forehead is wrinkled. When the affection is in the middle nerve, the pain is preceded by a pricking sensation in the cheek, and twitching of the lower eyelid. Soon it spreads in quick and piercing pangs over the cheek, reaching the lower eyelid, the sides of the nostrils, and the upper lip. If in the lower branch, it sends its lightning shafts to the chin, the gums, the tongue and even up the cheek to the ear

Face Ache. There is a species of nervous pain called face ache, which does not quite amount to tic douloureux, but is nevertheless very afflictive. It occurs principally in the jaw, which seems to be filled with pain. No one spot seems to be more affected than another. From the jaw the pain often goes to the whole head, but it has not the stabbing intensity which generally characterizes neuralgia. It often proceeds from defective teeth.

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