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قراءة كتاب A Statistical Inquiry Into the Nature and Treatment of Epilepsy
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A Statistical Inquiry Into the Nature and Treatment of Epilepsy
singularly enough exactly the same figures, and serves to point out, that in women, the earliest manifestation of puberty is a decided exciting cause for epileptic attacks. It must however be stated that, in the female epileptics, the attacks commenced before the age of puberty in 16.9 per cent. of their numbers. Of the 8.7 per cent. of cases included under the term "diseases of the nervous system," the epilepsy was associated with hemiplegia in all.
SYMPTOMATOLOGY.
In a hundred unselected cases of epilepsy there were—
| Epilepsia gravior in | 62 per cent. |
| Epilepsia mitior in | 10 per cent. |
| Epilepsia gravior and mitior in | 28 per cent. |
1.—Epilepsia Gravior.
Premonitory Symptoms.—In the cases in which epilepsia gravior was present there were—
| No premonitory symptoms in | 34.4 per cent. |
| Premonitory symptoms in | 65.5 per cent. |
Of those cases in which there were symptoms premonitory to the attack, there were—
| General premonitory symptoms in | 47.4 per cent. |
| Special Auræ in | 72.8 per cent. |
By general premonitory symptoms are understood those morbid conditions lasting for some hours or days before each attack, and of the cases under consideration in which these were present, the following is an analysis:—
| Prolonged vertigo in | 46.4 per cent. |
| Headache in | 21.4 per cent. |
| Nervousness in | 14.2 per cent. |
| Drowsiness in | 3.5 per cent. |
| Faintness in | 3.5 per cent. |
| Depression of spirits in | 3.5 per cent. |
| Cramps in | 3.5 per cent. |
| Numbness of extremities in | 3.5 per cent. |
Of the cases in which a special aura preceded the attack, the details are as follows (the special symptom in each case being sudden):—
| Loss of sight in | 2.3 per cent. |
| Loss of speech in | 13.9 per cent. |
| Loss of hearing in | 2.3 per cent. |
| General tremor in | 16.2 per cent. |
| Tremor of one foot in | 2.3 per cent. |
| Sensation in epigastrium in | 6.9 per cent. |
| Sensation in abdomen in | 4.6 per cent. |
| Sensation in throat in | 6.9 per cent. |
| Sensation in left side in | 2.3 per cent. |
| Sensation in both hands in | 2.3 per cent. |
| Sensation in one hand in | 2.3 per cent. |
| Violent pain in head in | 2.3 per cent. |