This monograph by a distinguished Spanish internist deals mainly with the etiology and treatment of trigeminal neuralgia. The historical concepts about etiologic factors as well as the conservative therapeutic approaches are reviewed.
The author is impressed by the frequency with which patients with trigeminal neuralgia have a family history of allergic diseases, migraine, and a past history of viral diseases or septic foci. In his series of 160 cases, he is impressed by the incidence of eosinophilia (10%-20%) and of foci of infection.
There is a sketchy discussion of differential diagnosis. One chapter is devoted to the author's therapeutic regimen. At the end of the monograph there is a summary, both in French and in English, as well as an unillustrated appendix of the anatomy of the trigeminal nerve. The bibliography includes pertinent articles in the fields of neurology, neurosurgery, and allergy. Dr. Blanco's provocative concepts must be substantiated by