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Trigeminal Neuralgia
Frank Clifford Rose, MBBS, FRCP
Arch Neurol. 1999;56:1163-1164.
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EARLY DESCRIPTIONS
Aretaeus of Cappadocia, known for one of the earliest descriptions of migraine,1-3 has also been credited with the first indication of trigeminal neuralgia by describing a headache in which "spasm and distortion of the countenance take place."4 Several hundred years later, Avicenna (died 1037 AD) described 2 facial syndromes, one of which is "a disease in which the face is pulled unnaturally, its normal shape is distorted, and the natural ability of both lips meeting is inhibited."5 This description clearly refers to a facial palsy, but Avicenna's second case history was more indicative of trigeminal neuralgia.
A more complete description was given by John Locke, who is better known for philosophy than medicine, when he wrote in a letter dated December 4, 1677, that he had been called to see the wife of an English ambassador, the Countess of Northumberland. She had had
a fit . . . [Full Text of this Article]
FIRST FULL DESCRIPTION
CLINICAL FEATURES
DIFFERENTIAL DIAGNOSIS
COMMENT
From the London Neurological Centre, London, England.
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