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Article
March 23, 1912

A CASE OF STATUSEPILEPTICUS WITH AN UNUSUALLY LARGE NUMBER OF CONVULSIONS

Author Affiliations

LINCOLN, ILL.

JAMA. 1912;LVIII(12):857. doi:10.1001/jama.1912.04260030255014

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Abstract

6 ounces with an enormous number of hyaline casts and a large amount of albumin. A blood examination on February 4 showed normal number of red cells per cubic millimeter, large leukocytosis of 41,400 per c.c. The hemoglobin was 85 per cent. There was nothing unusual in the appearance of the red cells. A differential count of 100 white cells gave the polymorphonuclear neutrophils 85 per cent., the greater percentage of which were evidently young cells, being about 10 microns in diameter and the granules taking a deep stain, whereas the remaining cells were of normal size and staining much paler. The young cells averaged about five nuclei each, whereas the older cells averaged about two. Blood coagulated rapidly.

This case holds interest for the great number of grand-mal seizures that may occur in a case of status epilepticus. Spratling refers to LeRoy's case of 488 grand-mal seizures in twenty-four

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