Transitory disturbances of consciousness in epileptics / by S.P. Goodhart.

  • Goodhart, Simon P. (Simon Philip), 1873-
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Transitory disturbances of consciousness in epileptics / by S.P. Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    memory pictures. Thus the perceptive faculty is interfered with, and at the same time the tendency to mental processes is ** .inaugurated; manifesting itself in kalei- doscopic delusions and hallucinations. This cardinal symptom was interpreted as a disturbance of the association of ideas by Ziehen, who considers the epileptic con- fusional state in general as a variety of acute paranoia. He differentiates three forms of disturbed association; namely, inhibition, fugitive ideation (flight of ideas) and lack of coherence. (Monat- schrft, f, Psych.—Neurol. IS. 183, XI, pg. 55> 393)- epileptic confusion, there is invariably a combination of incoherence with one of the two other symptoms. In stupor, the inhibition predominates; in de- lirium, incoherence is more evident. In- hibition is recognized by the increased time of reaction to sensory impressions of all kinds; best seen in the answering of very simple questions along the line of personal statistics. The entire clinical picture of epileptic confusion has for its most impor- tant feature the incoherence of the mental processes. In the graver forms, this is so plainly marked in the general behavior of the patient, as to put the characteristic stamp upon it. Linierling says accord- ingly, that the suspicion of an epileptic change of consciousness is always sug-