November 23, 1907


Author Affiliations

Lecturer on Pediatrics in the Medico-Chirurgical College; Assistant Pediatrist to the Medico-Chirurgical and the Philadelpjhia General Hospital; Pediatrist to St. Joseph's Hospital Dispensary. PHILADELPHIA.

JAMA. 1907;XLIX(21):1756-1758. doi:10.1001/jama.1907.25320210028001g

Eclamptic attacks in infants and young children are so common that perhaps some apology is necessary for presenting a paper on this subject. For the reason that one is privileged often to note cases wherein mistakes in diagnosis and subsequent treatment have been made, it may not be an untimely matter for discussion at this meeting.

Convulsions per se do not constitute a morbid entity. The practitioner's disregard of this fact not infrequently leads to grave error in the management of an attack. It is insufficient to diagnose convulsions. By saying that a child has a convulsion one says no more than when he designates bleeding from the uterus or stomach respectively as menorrhagia or hematemesis. These are but scientific terms for symptoms. It becomes essential to diagnose the underlying cause of this symptom of nervous irritation in order to deal with it intelligently. Failure to recognize this elementary principle

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