CASE OF EPILEPSY
BY T. F. ALLEN, M. D., BROOKLYN, N. Y.
Mary F., aged nine, fair complexion, large deep blue eyes, large head, very fond of books and music.
September 19th, 1861. For nine months has had severe epileptic fits, generally one every two weeks. The morning before the attack plainly indicates that the dreaded paroxysm will overtake her before nightfall, she rises with a severe boring pain in the crown of the head, which extends to the occiput, and in an hour or two a most severe pain in the pit of the stomach also arises. This last pain is so severe that she bends double, lays herself across anything hard and resorts to all kinds of postures to relieve herself. Generally about six, p.m., the spasm sets in attended with unconsciousness; convulsions of the head and limbs; rolling of the eyes, especially so, as to appear “cross-eyed,” both eyes being drawn inwards; foaming at the mouth; grating the teeth; biting the tongue, and invariably opisthotonos so that two men could not keep her body straight. These fits last about two hours, when she falls into a deep sleep, from which she wakes the next morning with severe pain across the forehead, severe retching and vomiting, and for a few days her evacuations consist of clear water covered on the top by white flakes. She is gradually becoming more and more dull and stupid, inclined to sleep a great deal; her sleep being full of startings up from dreams of falling into the water. I prescribed Nux vom200 every other day for two weeks.
October 19th. No fit until today, about four weeks, which was attended with the same severity of symptoms. I repeated the remedy.
November l1th. Another fit; no change. Nux vom 30
November 12th. Another fit; no change. Bell. 30
November 24th. Another fit; has been better; has ceased to dream of water and has seemed brighter. Bell.200 once.
November 30th. Another fit; seems worse again. Hyos.30
December 6th. Had a slight fit; is every way much improved; no more retching and vomiting; evacuations more natural; seems brighter. Hyos.30 twice a week.
January 15th. A slight convulsion with no previous symptoms and slight subsequent ones. Medicine discontinued.
Since that time has had no more fits; her mind is rapidly improving and she is going to school.