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Shell-shock and other neuropsychiatric problems

Note 10 — E. EPICRISIS[8]

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In one instance, fugue and other minor symptoms were later replaced by epilepsy; in another, an epileptic confusion developed eight months after an explosion, and in a third, a case of mine explosion, stammering resolved into mutism and mutism finally into epilepsy. Of course there is a so-called general resemblance among all forms of hyperkinesis or irritative discharge of the nervous system. If we term epileptic all the things that various authors have termed epileptoid, we may be doing nothing more than to say that we believe these cases all subject to epileptic hyperkinesis. In that direction, of course, it has long been said that dipsomania was really a form of epilepsy. Whether Shell-shock is ordinarily subject to recurrence in such wise as to imitate the recurrence of attacks of dipsomania, of manic-depressive psychosis or of epilepsy, is, to say the least, doubtful at this time.

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