Marked improvement in 14.
No change in 4.
Cushing reports on 128 cases of traumatic epilepsy, operative measures being adopted in 58, 40 cases of focal epilepsy and 18 exhibiting no localizing feature. The results were as follows:—
12 cases were free from attacks for from 1 to 5 years.
30 were greatly improved or showed some improvement.
17 exhibited no change.
2 died in status epilepticus.
Traumatic insanity.
Traumatic insanity is closely allied to traumatic epilepsy, occurring, as a general rule, late in the history of the case, when the frequency of the fits and the associated disturbance of the higher faculties breaks down the mental and moral control of the patient.
The particular form of insanity varies according to the circumstances of the case. Kraft Ebbing reported on 42 cases, the disease partaking of the following types:—