JAMA 100 Years Ago Section Editor: Jennifer
Reiling, Assistant Editor.
At best, epilepsy must be considered as merely a symptom-complex of
which, as a rule, the underlying causes elude detection. The disorder must
be looked on as the expression of a convulsive neurosis in which an abnormally
irritable nervous system responds with undue readiness to varied stimuli.
In accordance with this view, the therapeutic indications are, on the one
hand, to diminish the irritability of the nervous system and, on the other
hand, to remove and to avoid all possible exciting factors. The results of
treatment will depend on the success with which these indications can be met,
but no case should be despaired of and no effort be spared to attain the desired
end. Drugs will at times subserve a most useful purpose in this connection,
but the greatest good will be accomplished by a regulation of the diet and
a simplification of the mode of life. Each case must be considered by itself
and will receive treatment in accordance with its individual requirements.
THE TREATMENT OF THE EPILEPTIC STATUS.. JAMA. 2005;293(20):2545. doi:10.1001/jama.293.20.2545