To the Editor.
—I read with great interest the article by Drs. Lilienfeld and Pasamanick entitled "Association of Maternal and Fetal Factors with the Development of Epilepsy" in the June 19, 1954, issue of The Journal. My own experience with a group of epileptic patients from the seizure unit at Milwaukee County General Hospital and from my private practice corroborates their findings. Although I do not have access to prenatal and paranatal records of the children born in Milwaukee, I do have postnatal information concerning these patients. There is little question that the complications of pregnancy, prematurity, and asphyxia livida and pallida account for many cases of epilepsy. In all of these instances, careful checking revealed no epilepsy in the families of any of these patients. I believe there are fully as many epileptic children whose parents have no history of epilepsy as there are whose parents do have such