Case XXXIX. Epilepsy, with Dementia—One Year’s Duration—Operation—Cure.
A. H., æt. 17; admitted into the London Surgical Home June 28, 1864.
History.—Catamenia first appeared three years ago. They have continued regular to the present time. About twelve months since was observed, whenever sent on an errand from home, that she would wander about in an absent manner, and return home having forgotten all about any message which had been given her. About this time fits were first developed; they increased in frequency and intensity, and she now has them daily, and one or more of less violent character nearly every night in her sleep. When seized, she falls, struggles violently, foams at the mouth, often bites her tongue, and is totally unconscious to all around her. After a fit, she sinks into a deep sleep, which lasts for two hours. Has no recollection on awaking of what has taken place. Acknowledges to frequent injurious habits, but is unconscious of their being the cause of her illness. Is vague in all her ideas and conversation, and has almost entirely lost her memory.
Both history and personal examination plainly showed what was the cause of her attacks.
On July 7 the clitoris was completely excised. She had no return of the fits; and on the 23rd the following report appears in the case-book:—“Left her bed to-day. Is greatly changed; quite rational in all her movements; converses freely and quietly, remembers passing events from day to day, and it is indeed almost impossible to recognize in her the half-idiotic, almost demented girl who entered the Home less than a month ago.”
She remained in the Home some time longer for observation. Fits never returned; her mind improved daily, and she was discharged as perfectly cured.