This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 2010-03-09 edition. Excerpt: ... by neglect; all the cases of far less vigour of constitution, and of less promise, have weathered the storm after years of renewed attaeks, by prompt submission to treatment. The opulent classes are exempt from the harassing occupations, privations, and the depressing agencies which invade the usual denizens of hospitals, causes which induce an associate cachexy; and recovery is obstructed by the tardy and involuntary resort to hospital for aid. The latest contribution in Dublin has been from Dr. Duncan (" Cases of Syphilitic Insanity and Epilepsy." 'Dublin Quarterly Journal of Medicine/ February, 1863). I shall now seek out the evidences by which we may determine in what degree, and at what time, the medical faculty of London have participated in this new and important inquiry. The first publication that I find in the London periodic medical literature is in the 'Medical Times and Gazette' for June, 1861 (" Reports of Hospital Practice, by Jonathan Hutchinson and J. Hughlings Jackson, M.D. Syphilitic Affections of the Nervous System"). "Cases of Epilepsy associated with Syphilis.--The following cases of epilepsy, in each of which there is a clear history of syphilis, will, no doubt, be interesting to our readers. Although this subject has received much consideration from several English observers, amongst whom we may mention Dr. Graves, Dr. Todd, Dr. Beade of Belfast, and Dr. Inman, yet the connection between the two affections is not yet so widely recognised as is desirable. Case I.--Syphilitic caries of left parietal bone; convulsive attacks, chiefly of the right side, unattended with loss of consciousness, but followed by hemiplegia of the right side; relief by trephining; death; autopsy. The case was a patient of Mr. Bryant's, ...