That the diagnosis of the nature of convulsive seizures under our present classification often presents great difficulty no careful student of medicine can deny; and it is to emphasize this fact that the description of this condition is presented.
Four well-marked cases of this kind have come under my observation during the past ten years, and in three I have fortunately been able to observe the convulsive seizures. The family histories of two of the patients seem to be negative; the mother of the third was hysterical and the father of the fourth a "peculiar man." The previous personal history was that of good health in two cases, neurasthenia in the third and hysteria in the fourth.
In all four the condition developed after the age of 20; in one it followed an acute indigestion from playing basket-ball after a hearty meal, in another it followed the shock of a