On some points in the treatment of epilepsy / by William Alexander.

  • Alexander, William.
Date:
[1893]
Catalogue details

Licence: Public Domain Mark

Credit: On some points in the treatment of epilepsy / by William Alexander. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    ON SOME POINTS IN THE TREATMENT OF EPI- LEPSY.1 By William Alexander, M.D., F.R.C.S., Liverpool. The points in the treatment of epilepsy to be here considered refer entirely to general and medical questions, and not to surgical or gynaecological operations, interesting and important as these are. It will be sufficient to say here, in reference to operative treatment, that it should always be considered in regard to each case. If there be a history of an injury, and a depression in the cranial vault alleged to be produced by the injury, or any inequality in the calvarium that might be trau- matic, we should endeavour to ascertain the relations of the inequalities to the disease, as cause and effect. .Sometimes the history of the case is shrouded in uncertainty, and, clinically, we cannot obtain any definite information to localise the lesion. In such cases, trephining and elevation of the depressed area should follow as a matter of routine. Even should the clinical evidence be rather contradictory, the depressed bone should be elevated all the same, for we cannot yet positively deny that a lesion of the right hemisphere of the brain may not produce epilepsy where the convulsions begin apparently in the right hand or foot. 1 Read at the Medical Institution, Fob. 2, 1893. VOL. XIII. TT