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June 10, 1933


JAMA. 1933;100(23):1883. doi:10.1001/jama.1933.02740230061032

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To the Editor:  —Dr. Fay's communication (The Journal, May 6, p. 1450) apropos of the article "Dehydration in Epilepsy" (Fetterman, J. L., and Kumin, H. J.: The Journal, April 1, p. 1005) constitutes a splendid restatement of the concept which he has ably developed. In it, however, "dehydration" is relegated to a position as an adjunct in the treatment, whereas, in earlier writings, dehydration is the essential therapeutic measure based on "the mechanical theory of epilepsy." The aim of treatment is to improve cerebral circulation. Yet if it could be shown that there was a significant improvement in cerebral circulation, would it benefit a sensitive area in the cortex due to a congenital defect, scarred by birth trauma, or affected by encephalitis in infancy? Or would such improved circulation alter, in idiopathic cases, the factor of sensibility to convulsions, which, though intangible, is the vital factor in epilepsy?The improvement

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