Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . ^ are, as arule, of short duration. The condition described as irregular epilepsy .is particularly liable to manifest itself in this way. It is stated byReynolds that one-tenth of all cases of epilepsy develop epileptic proportion seems to me to be somewhat excessive. * In this connection I may remark that the constant efforts which epilepticscommonly and unconsciously make to avoid being cross-eyed is, in my opinio
Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . ^ are, as arule, of short duration. The condition described as irregular epilepsy .is particularly liable to manifest itself in this way. It is stated byReynolds that one-tenth of all cases of epilepsy develop epileptic proportion seems to me to be somewhat excessive. * In this connection I may remark that the constant efforts which epilepticscommonly and unconsciously make to avoid being cross-eyed is, in my opinion, one ofthe causes of their attacks. If they were actually cross-eyed, they would learn soon todisregard the visual image of the distorted eye, and their diplopia would be clinically ofno account. As it is, they suffer in many cases from a very high degree of latentinsufficiency, which they instinctively endeavor to overcome in order to prevent diplopiaThis subject has been discussed on a preceding page. 480 LECTURES ON NERVOUS >H ^3 05 O ^ fi K s <! <1-1 Hl5 a «H ^ pa aj Sa ^?•6 -3 o S o wo IC 31 o h Ol -3 H A iS -O ^ S-^ Oi ^ bC C M ci . cS M X5 S 5* 05 ^ . fc . • > cc s£ « 1^ & Kt^S 1 « Ph H < PEOGNOSIS OF EPILEPSY, 481 Epileptic mania may lead to motiveless and atrocious crimes insome cases, and to acts of indecenc}^ and vulgarity in others. Again,illusions of the special senses, melancholy, or preternatural buoj^ancy ofspirits may be evidences of this complication. Epileptic delirium istherefore not always of a dangerous character; although it is liable tobecome so, and deserves careful watching. When idiocy is associated with epilepsy, the former is generallycongenital or the result of a prolonged use of bromides. Prognosis.—Authorities ditFer respecting the indications for anextremly unfavorable prognosis in epilepsy. Some assert that extremefrequency of the paroxysms have a serious significance; while othersclaim that the mos
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