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The Birmingham Medical Review, Vol. 11

The Birmingham Medical Review, Vol. 11

139251108
1150 руб.
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Описание
Excerpt from The Birmingham Medical Review, Vol. 11: A Monthly Journal of the Medical Sciences; April, 1882

This distinction is apt to be disregarded by the patients and their friends, who are naturally more impressed by the painful sequel of the fits, than by the quieter period which intervenes. Sometimes, too, the frequent recurrence of fits prevents the creation of any true interparoxysmal period some cases are excluded from the following enumeration on this account.

It is not necessary for me to combat an opinion which at one time prevailed, to the effect that any mental infirmity which the patient might exhibit during the term of immunity, was in reality only the consequences of the outbreaks the effect of the fits. Such an explanation is imperfectly applicable even to the immediate sequel; both the explosion itself, which constitutes the fit, and the sequel which follows it, are alike indications of that defective control over the expenditure of nerve force, in which it is probable that the most important element in the malady consists. A similar explanation extends to another Opinion, which has been very justly discussed by Dr. Reynolds (on Epilepsy, p. Allowing that such condition [certain specified forms of mental impairment] are frequently found in epileptics, we ought to enquire whether they are really 'characteristic' of the disease; whether they are necessarily involved in the idea of epilepsy, and whether they may exist without epilepsy. They characterise epilepsy only so far as they are the result of the defect in the restraining function to which I have alluded; they will vary according to the degree to which that function is depressed, and also according to the particular centres involved in the depression.

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