STATEMENT OF PROBLEM
IN THE literature on epilepsy, reference is commonly made to the deteriorated epileptic patient1 and to progressive deterioration. It is proposed in this paper to raise the question whether there is evidence to justify a continuation of the implication in the literature that there is a special type, or greater degree, or higher incidence, of deterioration in epilepsy than in other diseases, and whether there is justification for the implication that the fits per se lead, or even largely contribute, to deterioration. The following case of a "deteriorated" epileptic patient is presented as the basis for raising such questions.
REPORT OF CASE2
—The mother and father, born in Ohio, were of German and Swiss extraction, respectively. The father, a business man, kept his family comfortably, but an unfortunate business venture shortly before his death left his family in straitened circumstances. The children proved
TWITCHELL-ALLEN D. EDUCABILITY OF A "DETERIORATED" EPILEPTIC PATIENT. Arch NeurPsych. 1947;57(5):617-622. doi:10.1001/archneurpsyc.1947.02300280111006