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December 26, 1891


JAMA. 1891;XVII(26):983-985. doi:10.1001/jama.1891.02411040001001

THE PRIVATE CARE OF EPILEPTICS.  Read before the Massachusetts Medical Society, Suffolk District, October, 19, 1891.BY LUCIUS W. BAKER, M.D.,SUPERINTENDENT RIVERVIEW SANITARIUM FOR NERVOUS INVALIDS, BALDWINVILLE, MASS.In nearly every community will be found one or more individuals who are suffering from that peculiarly distressing disease known as epilepsy. Niemeyer places the proportion of such cases at six in every thousand.In this disease the autopsy and the microscope have afforded us but little satisfaction. There seems to be no fixed and constant pathological lesion attendant upon the wide assemblage of symptoms classified under the name of epilepsy. The few histological changes which have been reported are, it seems to me, to be considered as results rather than causes of the disturbance.But if our knowledge of the actual pathological changes occurring in epilepsy is vague and unsatisfactory, the results of experiment and clinical observation are more gratifying,