DEP/DUA/1/31/22 (Transcript version)

George Robb

(1782-1783)

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George Robb.

Of patient whose case has now been read reckon it necess to say very little

Was but short time under our care at this place

And since that has been admitted a patient into Royal Infirm where has been subj both of pract & lect.

Shall only observe that from act which gave of his disease, when came under our care my opin was that lab. under complic of two diff. affect.

And these probab. unconnected with each other.

One of these consisted in painful contract of fingers & toes app. princip under form of Cramp.

This however although distressing to him consid as least matter part of affect.

What to me seemd much more alarm was that sense of aura, ascend from toe to head.

This sympt well known to be almost if not altogeth pecul. to Sympto Epilep.

And that it was so in pres. case corrob. by affect of mental facult which succeeded.

For upon reaching head, there ensued we are told, not only distors of features but state of insensib.

And although had not proceeded to what could be calld formal epilep. fits yet consid these as suff. charact of the disease.

While therfore in former case, had an example of idiopath Epilep or Epilepsia cerebralis, consid this as a case of Epilep. sympath.

In affect of this kind even where app slightest canot be confid of cure.

But in pres. case many circum at least fav.

Besides that only symptom was but of recent date & had not resisted any active remed.

Was in hopes therfore that might be able to remove affect.

And for this purp. put him on use of Cup. Ammon.

While contin attend here taking that remedy had never any returns of the Aura.

But for encrease of other affect went as patient to the Infirm.

And in conseq of benef. receivd is again dismissd from thence.

What may hereafter be condit with regard to epilep app. is indeed uncert.

But must own should not be surprizd to find that this patient hereafter subj to formal epilep fits.