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 . 74),the results of electrical tests (page 194), and the history of the case. The diagnosis from trismus or true tetanus is easily made by theabsence of a history of some injury received, the method of extension ofthe convulsions, the fiicial expression, the attitudes assumed, and thetypical relaxation and termination of attacks of tetanus. HYSTEKO-EPILEPSY. 511 The diagnostic table given on page 498 will aid the reader in maki
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 . 74),the results of electrical tests (page 194), and the history of the case. The diagnosis from trismus or true tetanus is easily made by theabsence of a history of some injury received, the method of extension ofthe convulsions, the fiicial expression, the attitudes assumed, and thetypical relaxation and termination of attacks of tetanus. HYSTEKO-EPILEPSY. 511 The diagnostic table given on page 498 will aid the reader in makinga discrimination between hysteria and other diseases wljich it mayclosely resemble. As Hammond very aptly remarks, careful watching,with thorough skepticism, will either result in detection, or in thepatients defeat from sheer weariness. Let us now pass to the consideration of hystero-epilepsj, catalepsy,and ecstasy, which belong to the lij^sterical type of nervous prognosis and treatment of these conditions will be considered later. condition is characterized by peculiar combinations of thesymptoms of hysteria and Fig. 121.—Hystero-Epilepsy. (From a photograph. Case of C. K. Mills.) These attacks are usually preceded by some of the prodromal mani-festations of hysteria. The various manifestations of this form of attack have been classifiedby Richer into four distinct periods, as follow :^ (1) The epileptoid period. (2) The period characterized by contortions. (3) The period of emotional attitudes. (4) The period of delirium. The symptoms of each of these states may be arranged in a tabularform, which admits of a contrasting of the chief peculiarities of each bythe reader. 512 LECTURES OX NERVOUS DISEASES. SYMPTOMS OF THE FOUR PERIODS OF HYSTERO-EPILEPSY. The Fikst ; Period. 1. Premonitory symptoms. 2. Convulsion, characterized by -. f Tremor. Pupils contracted. j Uai)i(l winking of the Rapid respiratio
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