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October 21, 1933


Author Affiliations

Wauwatosa, Wis.
From the Milwaukee County Asylum for Chronic Insane.

JAMA. 1933;101(17):1313-1314. doi:10.1001/jama.1933.27430420001009

Status epilepticus, while not very commonly seen, is one of the gravest symptom pictures encountered by physicians. According to Wechsler,1 it "generally ends fatally." The great majority of true status attacks, when the patient is unconscious and has epileptiform attacks, between which he does not regain consciousness, with the convulsions coming on with a half hour down to a few minutes or even several seconds between, terminate in death. When the physician reaches the stricken patient the latter is usually flat on his back, in deep coma, breathing stertorously, with copious white froth escaping from his mouth and often from his nostrils. The face may be pale or deeply cyanotic and the entire body wringing wet from perspiration. The pulse is often extremely rapid, especially in the later stage, and of varying quality, and the respiratory rate is usually somewhat increased. The breathing is handicapped by the large quantity