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Am J Psychiatry 88:623-646, January 1932
doi: 10.1176/appi.ajp.88.4.623
© 1932 American Psychiatric Association
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STUDIES IN THE BLOOD VOLUME OF EPILEPTICS

Morgan B. Hodskins M. D.1, Riley H. Guthrie M. D.1, , and James Z. Naurison M.D., F.A.C.P.2

1 Palmer, Mass.
2 Springfield, Mass.

1. We have attempted to show that the cerebrospinal pathology in epilepsy is variable.

2. Dehydration is a factor in common in methods of treatment which modify the seizures in epilepsy.

3. The incidence of epilepsy is low in diseases in which there is present a low blood volume or a tendency to dehydration.

4. Alkalosis, edema, and decreased oxygen tension, conditions favoring convulsions are closely inter-related, as are acidosis, tissue dehydration and increased oxygen tension, conditions which decrease seizures.

5. A disturbance in the vasomotor control of the cerebral vessels is suggested as the precipitating factor of the epileptic convulsion.

6. A trend towards higher blood volume values was found in 78 epileptics as compared with 42 controls.

7. A low blood volume was found during convulsive seizures and during fainting attacks.

8. Acidosis, as is produced by ammonium nitrate therapy, is not sufficient to control seizures.







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