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March 9, 1901


JAMA. 1901;XXXVI(10):669-670. doi:10.1001/jama.1901.02470100061005

The essential nature and the intimate pathology of epilepsy are as yet not understood, and we are still without a specific or invariably successful method of treatment. In fact, all of the remedial measures at our command can be said to be only palliative, as even when the attacks have remained in abeyance for long periods of time, definite assurances of cure can not be given. In all cases distinct good can be accomplished by a careful regulation of the diet and the mode of life, and among drugs there is none, intelligently used, that seems so efficient as the bromids. The latter, however, by no means always bring about the desired result, and even when they lessen the number and the severity of the attacks, their use is not wholly unattended with unpleasant effects, and their influence may after a time be lost. Inasmuch as physiologic, as well as

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