—An unmarried woman, aged 26, clerk in postoffice, family history negative.
—Since August, 1901, she has been subject to attacks of epilepsy of the ordinary type which at first occurred about once in three months but which have occurred once or twice a month during the past year.Besides these epileptic fits, the patient has been subject for 3 or 4 years past to frequent attacks of mutism and to attacks consisting of confusion of speech. The last named are often preceded by the first named, i. e., an attack of mutism is often preceded by a period of confused speech. These attacks are of much more frequent occurrence than are the epileptic fits. They are the cause of great embarrassment to the patient since she may in a street car or a store or in company suddenly find herself mute and unable to reply to questions. These
DILLER T. ATTACKS OF HYSTERICAL APHONIA OCCURRING IN A PATIENT SUBJECT TO TYPICAL EPILEPTIC SEIZURES.. JAMA. 1906;XLVII(2):112–113. doi:10.1001/jama.1906.25210020032003d