File:Epilepsy, a study of the idiopathic disease (1907) (14580039358).jpg

Identifier: epilepsystudyofi00turn (find matches)
Title: Epilepsy, a study of the idiopathic disease
Year: 1907 (1900s)
Authors: Turner, William Aldren, 1864-1945
Subjects: Epilepsy Epilepsy
Publisher: London : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ists of several attacks during oneor two days, there is usually a monthly incidence, although inrarer cases they may recur weekly; the appearance of a serialoutburst once or twice a year was also noted. In these casesthe series is usually more severe, and lasts a greater numberof days. Long Remissions. Epilepsy is a disease characterised by anirregular periodicity in the incidence of the seizures, and accord-ingly there are seen remissions, sometimes of several years,which are a frequent, if not a characteristic, feature of thedisease. There are three periods in the course of the malady whenremissions are prone to occur: 1. Between the first and second fits before the disease becomessatisfactorily established. It may be contended that this is nota true remission, and not therefore comparable to those whichoccur after the malady becomes pronounced. It is, however, CHART 10. IllUSTKATING PROLONGED PERIODS OF STATUS EPILElTICUS. JAN. FEB. MAR. APRIL MAY JUNE JULY AUG. SEP. OCT, NOV. DEC.
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LONG REMISSIONS 113 ail important remission, the recognition of which may proveof value in the subsequent treatment of the disease. Of my series of 1000 cases, the following showed periods ofvarying duration, from one to ten years, between the first andthe second fits: 1 years interval in 8 cases. 2 years „ 6 „ 3 „ 2 „ 4 „ 3 „6 ,, 3 7 years interval in 4 cases. 8 „ 2 „ 9 „ 1 „10 „ 1 „ An interval of thirty years was noted in one case, the firstattack occurring at ten years of age and the second at forty;but this patient was of alcoholic habits, and has not beenincluded in the above table. 2. The second period of remission is found during the yearsof childhood, antecedent to puberty, in those whose fits com-menced in infancy. This is one of the most remarkablefeatures of the disease, as during this period tlie processes ofbrain growth and development are usually active. Neverthe-less, it corresponds to a period during which the onset ofepilepsy is less common, a

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