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August 13, 1927


Author Affiliations

Assistant Consultant in General Surgery, New York City Children's Hospital; Pathologist and Senior Resident Physician, Respectively; Senior Resident Surgeon NEW YORK
From the surgical service of Dr. William Seaman Bainbridge.

JAMA. 1927;89(7):516-517. doi:10.1001/jama.1927.02690070026009

It has come to be considered axiomatic that a multiplicity of therapeutic methods in the treatment of a given disease connotes a paucity of cures attributable to any one method. Of no condition is this statement truer than of epilepsy.

Sir William Gowers1 casually mentions helminthiasis and ovarian and uterine abnormalities in a consideration of the etiology of epilepsy. In the same article he states that "it would be a waste of time to describe the various operations that have been advocated for epilepsy, whether on arteries or on the sympathetic nerves, which have their day and cease to be, not much to the credit of the profession."

Block2 quotes A. E. Russell as stating that "the fundamental factor underlying the epileptic fit is cerebral anemia." Russell in turn quotes Fox as "attributing the loss of consciousness and tonic spasm to cerebral vasoconstriction and the clonic convulsion to