Case XXV. Hysteria and Epileptiform Attacks—Many Years’ Illness—Operation—Cure.

R. D., æt. 31; admitted into the London Surgical Home Feb. 17, 1864.

History.—Married eight years, with one child. Her husband is in the navy, and often absent from home. Previous to her marriage had a severe illness, in which she was delirious, and again in 1860, when she lost her reason for six weeks. “Was very feverish and could retain no food on the stomach.” The menstrual periods are most irregular, six or eight months sometimes elapsing between each appearance. Has not menstruated since June last. Has great difficulty in passing her urine. For many years has suffered from fits of an epileptiform character, having, in an attack, convulsions and rigidity, but never hurting herself in falling, foaming at the mouth, nor biting her tongue.

Feb. 18. Clitoris excised.

Feb. 24. Much improved, free from pain or difficulty in micturition. Is quite cheerful, and has had no attack since the operation.

March 26. Still gaining strength, looks much better, and says she now feels well.

March 28. Discharged cured.