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July 18, 1908

Clinical Lectures, Third Series, the Borderland of Epilepsy.

JAMA. 1908;LI(3):238-239. doi:10.1001/jama.1908.02540030060015

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Certain conditions more or less related to or resembling epilepsy in some of their manifestations are considered by Gowers in this volume. In cardiac syncope he sees considerable evidence of an essential identity of the process in the nerve elements with that in some epileptic conditions and that one may pass into the other in certain cases. Similarly those peculiar attacks which seem to depend on disturbance of the vagus functions, are considered by him as also sometimes on the borderland of epilepsy, and epilepsy and aural vertigo closely approach each other in some of their manifestations. In migraine, on the other hand, Gowers sees little to indicate any definite relations; though epilepsy may develop from migraine as an indirect consequence of the effect of the intense pain and associated cerebral disturbance. The disturbances of sleep, somnambulism, etc., also come under consideration in this work as borderline states, though their

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