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March 3, 1900


JAMA. 1900;XXXIV(9):566. doi:10.1001/jama.1900.02460090052017

The dangers and accidents of the epileptic attack are by no means inconsiderable, and they have been directly responsible for death in not an insignificant number of cases. The fall consequent on loss of consciousness may result in fractures of bones, in severe contusions, in burns, in drowning, and in other serious injuries from moving machinery or vehicles. The violence of the muscular spasm may cause acute dilatation of the heart, rupture of an aneurysm or of the heart, or of other muscular structures, as the diaphragm, or of the liver, extreme cyanosis, or even asphyxia, luxation of the lower jaw and other bones, severe laceration of the tongue, lips and cheeks, and rarely fracture and hernia. Some of these are favored by preceding morbid conditions of the part affected, acquired or congenital. To these untoward results of the epileptic muscular spasm Féré1 adds another, namely, muscular hernia, and