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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