. Epilepsy, a study of the idiopathic disease. sient delusional conditionsrequiring care and attention. This type of the disease leads to more serious temporarymental failure than any other. After the short series, thepost-paroxysmal mental phenomena of acute dementia andstupor repeatedly occur, and in time induce dementia of a per-sistent type. After the more prolonged series, the acute dementiahas been seen to pass directly into a sub-chronic or chronic form,from which recovery rarely takes place. On the other hand,the recovery from the mental enfeeblement, induced by someprolonged and sever
. Epilepsy, a study of the idiopathic disease. sient delusional conditionsrequiring care and attention. This type of the disease leads to more serious temporarymental failure than any other. After the short series, thepost-paroxysmal mental phenomena of acute dementia andstupor repeatedly occur, and in time induce dementia of a per-sistent type. After the more prolonged series, the acute dementiahas been seen to pass directly into a sub-chronic or chronic form,from which recovery rarely takes place. On the other hand,the recovery from the mental enfeeblement, induced by someprolonged and severe series, is occasionally surprising, somealteration in character, such as increased irritability, being theonly feature which strikes the observer. Out of a total of thirteen cases of serial epilepsy, considerablymore than one-half (70 per cent.) showed the severer grades ofdementia. Some facts will be mentioned and arguments brought forward CHART 4. A Severe Type of Minor Epilepsy. JAN. FEB. MAR. APRIL MAY JUNE JULY AUG. SEP. OCT. NOV. To face page 100. ^ StUn STATUS EPILEPTICUS 101 in a later chapter to show, that serial epilepsy, and thestatus epilepticus, may be the forms of the disease, which havean exciting cause in auto-intoxication. 2. Status Epilepticus. Status Epilepticus {6tat de mal of the French writers) is themost acute manifestation of epilepsy, and in some of its develop-ments may form an acute type of the disease. It has beendefined by Clark and Prout ^ as the maxinmm development ofepilepsy. It is a temporary state, occurring during the courseof the disease, in which one fit follows another so closely thatthe comatose after-stage gives place to the succeeding convulsionwithout a return to consciousness. It may therefore be regardedas a more complete convulsive paroxysmal phenomenon thanserial epilepsy, which latter has indeed been considered anddescribed as a modified form of the status epilepticus. The close relation which exists between
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