. Alienist and neurologist. . onof the skull revealed no depression of any of the cranial bones. As the examination proceeded, I became more and more at a loss to know justhow much importance was to be attached to the slowing of the mental faculties, andalso as to the real value of the statements of the man, yet uncorroborated. I temporizedthe matter by making a tentative diagnosis of epilepsy, possibly traumatic in character,and asked the patient to return in a few days, for further study, accompanied by somemember of the family. Four days later I was called to see the man at his home. From h
. Alienist and neurologist. . onof the skull revealed no depression of any of the cranial bones. As the examination proceeded, I became more and more at a loss to know justhow much importance was to be attached to the slowing of the mental faculties, andalso as to the real value of the statements of the man, yet uncorroborated. I temporizedthe matter by making a tentative diagnosis of epilepsy, possibly traumatic in character,and asked the patient to return in a few days, for further study, accompanied by somemember of the family. Four days later I was called to see the man at his home. From his wife anddaughters I obtained some historic facts quite pertinent to his case. Following aninjury, which he had received in his thirty-seventh year as a result of a fall from theroof of a building, he had been free from any lapse of consciousness, as far as thefamily recalled, for a period of some four years. Then one day, while engaged in<;onversation with a couple of friends, without warning or apparent provocation, he. Page One Hundred Ninety-Nine* THE ALIENIST AND NEUROLOGIST suddenly became unconscious and fell to the ground. The details of what happenedduring this attack were too vague in the minds of the family to warrant them givingan accurate account of what transpired at that time, but his wife recalled that it vsaspossibly several hours before he fully recovered his faculties. Again, there was alapse of some three or four years before a similar attack was repeated. This timehe was seized, without warning, while at work in his wagon shop, with a generalconvulsion, accompanied by a loss of consciousness. From that time on, especiallyduring the least four years, he has been subject to similar attacks, and of comparativelyrecent times, it was stated, these spells had increased so greatly in number and severitythat he was having several attacks each week. In many of these unconscious stateshe had fallen and received minor injuries, and while not all of these seizures
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