A Statistical Inquiry Into the Nature and Treatment of EpilepsyBennett, Alexander Hughes
Science
A Statistical Inquiry Into the Nature and Treatment of Epilepsy
Bennett, Alexander Hughes
Epilepsy
CASE 1.--Louisa C----, aged twenty-nine, has suffered from epileptic
attacks for fourteen years. Prior to treatment she had three or four
every week, of a severe character, consisting of loss of consciousness,
general convulsions, biting of the tongue, &c. She has always been a
delicate person, with a tendency to great nervousness, but otherwise
intelligent, and in fair general health. She has taken one and a half
drachms of bromide of potassium daily regularly for the last six years,
and states that if she attempts to discontinue the medicine all her
symptoms are aggravated. At present the patient is a robust,
healthy-looking woman, of fair intelligence and good spirits. Her
memory is deficient. Her physical powers are vigorous, and she earns her
living as a bookbinder. She has an attack about once a month, and with
the exception of this and occasional headaches and nervousness, she
professes and seems to be in excellent general health. Sensibility, the
knee-jerk, and plantar phenomena are normal. The fauces are insensitive,
and their reflex is abolished. Pulse 60, normal. The circulation,
respiration, and other functions are healthy. No traces of bromism.
CASE 2.--Charles P----, aged thirty-five, has suffered from epileptic
attacks of a severe convulsive character for eighteen years, having had
one about once a month. Prior to treatment, although his memory was
defective, his intelligence and general health were good. For the last
six years he has regularly taken the bromides of potassium and ammonium
(one drachm and a half) daily. At present he still continues to have an
attack about once a month. His mental and physical conditions are the
same as before. He appears perfectly intelligent. His strength is
robust, so that he does his ordinary work as a pianoforte maker. Pulse
74, of good strength. All the reflexes are normal, except that of the
fauces, which is abolished. Sensibility of the skin to touch slightly
diminished. The sexual functions are normal. No symptoms of bromism.
CASE 3.--Matilda W----, aged thirty-one, has suffered from epilepsia
gravior and mitior for twenty-two years, having of the former about one
seizure in three months, and of the latter ten or twelve a day. She has
always been a delicate woman, suffering from headaches, general
irritability, and nervousness. She is, however, perfectly intelligent.
For six years past she has taken regularly the bromides of potassium and
ammonium, one drachm of each daily. She has not had an attack of
epilepsy major for a year, and of epilepsy mitior has now only about one
a week. Although anæmic, her general health is good, and she is able to
do a full day's work as a washer-woman. Intellectually she is quite
sound, but has a treacherous memory, and is very nervous. Sensibility,
reflex acts, &c., are as in the other cases.
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