Electricity in all forms has been requisitioned, but it does not appear
to have justified its trial. In our opinion, moreover, it is
contraindicated in convulsive affections.
In cases of functional spasm of the neck, Charcot[195] was wont to extol
the combined use of electricity and massage, citing instances of a very
protracted and aggravated nature where relief or even cure followed the
application of the induced current to the muscles not involved in the
spasm.
A case in point was a man who entered the Salpêtrière in 1888 with
clonic spasm of the sternomastoid and trapezius, originating in
depression caused by financial losses. The symptoms were not unlike
what has been described more recently as mental torticollis. The
condition had resisted all treatment during nine months, but
vanished with singular rapidity after a few applications of the
battery, during which the unaffected sternomastoid was faradised
for fifteen minutes so as to produce the inverse of the
pathological attitude.
Equally satisfactory results are frequently obtained in mental
torticollis from the maintenance of the antagonistic position by the
hand or campimeter, or simply by order given. It ought not to be
forgotten, however, that Charcot himself was astonished at these
unlooked-for successes, since he closes his lesson with the sceptical
injunction not to hail the victory complete nor ignore in such histories
the chapter of relapses.
Several of our own patients, similarly affected, have found
electrotherapy an egregious failure. Most sufferers from tic have
essayed it at one time or another, and if they do not accuse it of
having intensified their symptoms, the memory they retain of it is
usually anything but pleasant. All that is permissible in suitable cases
is to employ electricity "in psychotherapeutic doses." Let the patient
see the coil, or hear the interrupter, or feel the damp electrodes, and
even though the current be infinitesimal, in the sequel the suggestion
may prove efficacious. Generally speaking, however, such subterfuges
ought to be avoided.
SUGGESTION
Hypnotic suggestion has sometimes given tangible results, but it is
strictly applicable only to hysteria, which is, as we have seen, a
comparatively rare accompaniment of tic.
Reference may be made to some cases of Raymond and Janet, where the
method was successful in curing a constant giggle of four months'
duration; hiccough also, and spasms of the limbs, were combated by these
means.
Public-domain text, read in full here on John Shaqi.
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