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September 1920


Arch NeurPsych. 1920;4(3):351-352. doi:10.1001/archneurpsyc.1920.02180210107010

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This unusually good thesis is from the "militarized" service of Pierre Marie at the Salpêtrière, where of 3,623 patients with head injuries, 439 are known to have developed epilepsy. These cases form the basis of the present study. Owing to admirable cooperation between the neurosurgical service and the neurological service, and to a rule requiring patients to report at the hospital from time to time after discharge, the observation of a large proportion of the patients was unusually complete. In other words, the enormous material was wisely utilized and the result is a most valuable composite picture of traumatic epilepsy. The work is divided into three parts: I. Immediate and transitory epilepsy. II. Established epilepsy (épilepsie durable). III. Late symptomatic epilepsy.

I. These convulsions, which may be local or generalized, are caused by concussion injury, by foreign bodies or by hemorrhage, and soon disappear, or status epilepticus develops with fatal