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On February 26 my poor darling Dick had an epileptic fit, or, more properly speaking, an epileptiform convulsion, which had lasted about half an hour, and endangered his life.
Those subject to it start when any sudden noise reaches the ears. It appears to be due to the fact that motor impulse is excited by perceptions without the necessary concurrence of the volition of the individual to cause the discharge, and are analogous to epileptiform paroxysms due to reflex action.
#Trigeminal Neuralgia.# A severe form of epileptiform neuralgia occurs in the branches of the fifth nerve, and is one of the most painful affections to which human flesh is liable. It is met with in adults, is almost invariably unilateral, and develops without apparent cause. The pain, which occurs in paroxysms, is at first of moderate severity, but gradually becomes agonising.
That evening he was on my hands, fortunately soon to recover, and to win a prolonged convalescent leave out of this rain to the sunny and non-malarial slopes of Wynberg. Seldom do the rumbling ambulances roll in but among their human freight is some poor wretch snoring into unconsciousness or in the throes of epileptiform convulsions.
Kraepelin mentions the epileptiform convulsions of uremia as well as delirious and comatose conditions, especially those in advanced pregnancy. These uremic conditions may be both acute and chronic. But Kraepelin has not been able to convince himself of the existence of a clearly defined uremic insanity unless the delirious condition just mentioned may be regarded as such
If the heart has become slowed from disease or from any acute condition, the patient is likely to feel more or less faint, perhaps have some dizzines, and often headache, which is generally relieved by lying down. Sometimes convulsions may occur, epileptiform in character, due possibly to anemia or irritation of the brain.
In chronic lead-poisoning the most prominent symptoms are a blue line on the gums, anæmia, emaciation, pallor, quick pulse, persistent constipation, colic, cramps in limbs, and paralysis of the extensor muscles, causing 'dropped hand. May get saturnine encephalopathies, of which intense headache, optic neuritis, and epileptiform convulsions, are the most common.
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