The manner in which artificial epilepsy becomes manifest after the operation, is also in favour of the explanation offered above. In the first place epilepsy does not result from any one single injury to the nervous system, but it may follow from a variety of different injuries. Brown-Séquard produced it by removing a portion of the grey matter of the brain, and by dividing the spinal cord, although the disease also resulted from a transverse section through half of the latter organ, or from the section of its anterior or posterior columns alone, or from simply puncturing its substance. The most striking effects appeared to follow when the spinal cord was injured in the region between the eighth dorsal and the second lumbar vertebrae, although the results were sometimes also produced by the injury of other parts. Epilepsy also followed the division of the sciatic nerve, the internal popliteal, and the posterior roots of all nerves which pass to the legs. The disease never appears at once, but only after the lapse of some days or weeks, and, according to Brown-Séquard, it is impossible to conclude that the disease will not follow the operation until after six or eight weeks have passed without an epileptic attack. Obersteiner did not witness in any case the first symptoms of the disease for several days after the division of the sciatic nerve. After the operation, sensibility decreases over a certain area on the head and neck, on the same side as the injury. If the animal be pinched in this region (which is called the epileptic area, ‘zone epileptogène’) it curves itself round towards the injured side, and violent scratching movements are made with the hind leg of the same side. After the lapse of several days or even weeks, these scratching movements which result from pinching in the above-mentioned area, form the beginning of a complete epileptic attack. Hence the changes immediately produced by the division of a nerve are obviously not the direct cause of epilepsy, but they only form the beginning of a pathological process which is conducted in a centripetal direction from the nerve to some centre which is apparently situated in the pons and medulla oblongata, although, according to others[221], it is placed in the cortex of the cerebrum. Nothnagel[222] considers that certain changes, the nature of which is still entirely unknown, but which may be histological or perhaps solely molecular in character, must be produced, leading to an increased irritability of the grey matter of the centres concerned.