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Now, I have no clue as to the date of this picture. My take on it is, it would be around late 19th century. Reason : -According to Wikipedia (en.wikipedia.org...), the first commercial camera began sales at the consumer level at around 1885, and I don’t see any reason why a picture may be clicked using any other camera. -An article was published in the “Anomalies and Curiosities of Medicine” (see later) in 1896. -The article stated his death. I believe if an article was published in a professional Journal, the death must not be very long ago. -Internet sources reveal he died around the age of 23 years. -Given this picture, he looks around the same age, within 20-23 years. Hence, late 19th century – 1890-1900. SYMPTOMS/SIGNS -He had a face occupying the posterior part of his skull. -The face couldn’t talk, but could laugh or weep : “it would be seen to smile and sneer as Mordrake would weep”. Though Edward gave a history that he couldn’t sleep at night because of the “hateful whispers of his ‘devil twin'” -Eyes would “follow movements of spectators” and lips would “gibber without ceasing”. – He, thus, wanted it removed, however, no surgeon would attempt to remove it, fearing it might cost him his life. -The face seemed to be that of a beautiful woman, which was “lovely as a dream, hideous as a devil”. The excerpt from “Anomalies and Curiosities of Medicine” is as follows :