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 |   Related post: lolls or toys; it doe the patient to the he,! or any reasonable amusement or occupation more Dec. 2(5, 1890.] RANNEY: EYE STRAW AS A CAUSE OF EPILEPSY. 841 than a few hours; it is not looked forward to by my pa- tients with any dread (as a rule); and it is purposely made light of by me, both prior to and after the operative step, in order to decrease alarm or apprehension." In my reply to Dr. Casey A. Wood, I made use of about these words: "A good spanking or a dose of castor oil has ten times the mental suggestion of a graduated tenotomy; yet who ever recorded a cure of epilepsy or other grave neurosis from such a method of treatment with the hope of causing mental suggestion? " Eegarding " genuine " epilepsy, the chief of the clinic in which Dr. Peterson assists says in his work on Familiar Forms of Nervous Disease * (page 269): " In genuine epilepsy, on Buy Furacin the other hand, the patient usually feels perfectly well between the attacks and presents no symptoms of nervous irritation." To show that reflex epilepsy is to-day accepted as es- tablished, this author, in a previous paragraph, discusses the special symptoms that indicate the various forms of peripheral irritations which may exist as a cause of reflex epilepsy. He specially mentions, in this connection, the detection of scars; phimosis; vaginal irritation; uterine and ovarian disease; indigestion, flatulence, and constipation; irritations of the respiratory Buy Furacin Online tract; eye strain; and impacted wax in the ears. Although this author says, in closing, that " in his experience reflex neuroses of an epileptiform type are exceedingly rare," this is, as yet, purely a matter of opinion that further investigation may modify. It con- stitutes one of the most important questions in this controversy. Let me here take up for Dr. Peterson's considera- tion the statement of Dr. Starr relative to the evidences of local irritation between seizures in cases of reflex epi- lepsies from the eyes. He says (page 269): " If the irritation is from eye strain, the patient will complain of headache (frontal or occipital), aching in the nape of the neck, or discomfort about the eyes after using them for near or far objects as the case may be." It must be admitted, I think, that my experience in examining the eyes of epileptic patients with special reference to defects which tend to create epileptic seiz- ures is larger than that of Dr. Starr — especially as he states that only six cases in thirty-five hundred seen by him in his clinic belonged to the reflex class (in his opinion). Therefore, when I take issue with him on the two preceding conclusions (that I have quoted). I do so on grounds that are sustained (I think) by clinical records of the eye tests of a larger number of such cases than are easily accessible elsewhere. In my published reply to Dr. Casey A. "Wood, of Chicago (New York Medical Journal, September 29, 1894), after he had attempted in an article on reflex * II. Allen Starr. William Wood & Co., 1890. epilepsy (New York Medical Journal, July 7 and L4, 1894) to cast a doubt upon the existence of eye strain unless previous eye symptoms had formed an important part of the clinical history, I analyzed a number of my reported cases from this standpoint alone. I think I showed conclusively in my reply that eye strain could exist without any eye symptoms; and I am equally sure that occipital or frontal headache and pain in the nape of the neck (while frequently present) do not exist in every case, and are not positive diagnostic points. My reply to Dr. Wood is too lengthy to admit of reproduction here; but it is accessible to Dr. Peterson and others, should they be inclined to dispute this assertion. Eegarding the probable percentage of eye strain in epilepsy, let us see what light can be thrown upon this undecided question by the experience of another, who Related links: Buy Cycrin, Buy Zetia Online, Tamsulosin Price, Buy Zithromax Online No Prescription Uk, price for renovation kitchen, does doxycycline hyclate 100mg treat chlamydia, Clarinex D 24, Order Celexa Without Rx, Generic Kytril, Buy Cheap Alli
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