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These experiments, which I have repeated several times, and
each time with like results, seem to denote that convulsions are
modified according to the part of the cerebro-spinal axis which
is primarily excited : if it be the spinal cord, they arc tetanic;
if the medulla oblongata, they are tetanic likewise, other parts
being involved; if the corpora quadrigemina and the meso-
cephale, they arc epileptic ; if the cerebral hemispheres, you
scarcely have any convulsions, but slight twitchings of the
muscles."
Dr. Weber, in his excellent essay on muscular motion, pub*
lished in Wagner's " Handwortcrbuch" of physiology, refers
briefly to similar experiments performed by himself on the brain
of a frog, and leading to the same results; and he draws this
conclusion, that " the tonic convulsions, as trismus and tetanus,
arc the effect of disturbance of the functions of the spinal cord;
whilst the clonic convulsions are due to derangement of the
functions of certain parts of the brain." (See p. 222.)
Thus, then, I come to this conclusion, respecting the parts of
the nervous system which are directly concerned in the produc-
tion of the epileptic paroxysm. The part of the cnccphalon
primarily disturbed is the hemispheric lobes; if the disturbance
do not go beyond a certain point, the phenomena are limited to
simple loss of consciousness and impaired intellectual action,
witli more or less sopor. But if the disturbance be consider-
able, then the tubercula quadrigemina and mesor.ephale become
involved, and epileptic convulsions are produced. If the dis-
turbance of this centre be very great, the medulla oblongata and
the medulla spinalis become much excited, and the convulsions
are complicated with a good deal of the tetanic character.
House painters or others exposed to the contamination of lead
are apt after some time to fall into a fearfully cachectic state, of
which a principal feature is the deficiency in red particles of
blood. I have seen several persons, under these circumstances,
become epileptic shortly before death, and, in fact, die in con-
sequence of the violence of the epileptic paroxysms. All these
are striking instances to show how blood, when deficient in
quantity, deficient in one of its most important staminal prin-