Case XXIV. Hysterical Epilepsy—Long Duration—Operation—Cure.

G. C., æt. 25; admitted into the London Surgical Home Jan. 28, 1864.

History.—Has been delicate from childhood. For some months has suffered from a peculiar dragging pain in the lower part of the abdomen. Menstruates regularly. Suffers from “burning” and irritability of bladder. Has constant and severe headache. Has for a long time suffered from “epileptic fits” (on careful observation they were found not to be genuine epileptic), occurring twice or thrice a week. Is a melancholy object, with “woe-begone” expression; listless and indifferent to conversation and surrounding objects; when spoken to, does not answer rationally, and frequently only in monosyllables. Is very reserved and taciturn.

Feb. 4. Patient being under chloroform, the clitoris was excised.

Feb. 13. Progressing favourably; much improved in appearance; more cheerful; converses freely and rationally; expresses herself as grateful for her restoration to health.

March 1. Having had no return of the fits, and lost all her hysterical symptoms, she was discharged cured.