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3. The correspondence between the paroxysmal character of
epilepsy and that of other diseases called humoral, as ague
and gout.
4. The introduction of certain animal poisons (as exanthem-
ata) into the system can produce epileptic convulsions ; and
to these might be added evidences derived from cases of hydro-
phobia, hysteria, chorea, and tetanus, as occurring also in
absence of structural lesions, and in still greater force by those
strange manifestations of disordered excitement of the nerve
centres which are manifested in neiirwmic or hysterical forms
of convulsions, which always baffle the sagacity of the best
physician to satisfactorily account for, and that of the most
skilful practitioner to cure.
The diagnosis of the hysterical form of epilepsy is mainly
made out by observing the suddenness with which the several
forms give successive place one for the other, as a choreic for
tetanic, and this for epileptic, or paralytic, or perhaps passing
off altogether. Thus the strange combinations or successions
which they often present mark them from the more settled form
of nerve disease that they so simulate.
Dr. Copcland, in his great work, says, "I have not given a
class of antispasmodics, because there is really no such class
of medicines that possess the property of directly arresting
spasms." But probably he had not become familiar with the
modern methods of directing the electric current through
nerves so as to be an anti-spasmodic, as well as an anti-
paralytic, — not by diminishing their strength, but by nourish-
ing them, and fortifying their power of endurance.
Dr. E. Brown-Sequard is inclined to believe that epilepsy
consists essentially in an exalted abnormal excitability of cer-
tain parts of the cerebro-spinal axis, and in a simultaneous loss
of the control that, in normal conditions, the Will possesses over
the reflex faculty. He has shown that the same cause that
produces the first convulsion in some muscles of the neck, the
eye, the larynx, and the face, produces also a contraction of
the blood vessels in the brain proper, and which contraction
is necessarily followed by the loss of consciousness. MM.