Epilepsy: some clinical observations
Murray, George Stewart
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For the past year I have been Resident (Assistant) Medical Officer in the Union Workhouse at Bradford, and for some months have had charge of the Imbecile Wards. Of the patients in these wards, about one third were epileptics, sane and insane. It occurred to me that time might profitably be spent in making clinical observations in the subject of epilepsy. Various clinical phenomena were studied as fully as possible under the circumstances and various lines of treatment adopted. The phenomena at the actual moment of the attack I found it impossible to study in detail. This was due to the scattered nature of the hospital, which consisted of pavilions in different parts of a large area of ground. It was consequently on very rare occasions that I actually witnessed an epileptic attack, as it took some minutes for a message from the imbecile wards to reach me. But the clinical condition of the patients in the inter-paroxysmal and post-paroxysmal periods provided me with abundant material. My best plan, I think, will be to give first a short account of the patients who were for the whole or part of the time under my care; secondly to deal with the various clinical conditions investigated; and lastly to take up the subject of treatment. The majority of the patients were drawn from the lowest class of society and their own ignorance, combined with that of their relatives, made it a difficult matter to obtain a proper history of their illness.