
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Epilepsy historical perspective
Introduction
Overview
Overview
The word epilepsy is derived from the Greek epilepsia, which in turn can be broken in to epi- (upon) and lepsis (to take hold of, or seizure). In the past, epilepsy was associated with religious experiences and even demonic possession. Claudius Galen was the first person who described epilepsy as a brain disease. Boerhaave was the first person who differentiate petit mal epilepsy, grand mal epilepsy and hysteria. Marshall Hall described reflex theory in which paroxysmal nervous discharges are responsible for epilepsy seizures. The very first evidence of epilepsy treatment goes back to 10,000 years ago when making holes in skull bones was done in order to treat epilepsy. In the past three decades anti-epileptic drugs are used widely for symptomatic control of epileptic patients.
Historical Perspective
Historical Perspective
Discovery
- The word epilepsy is derived from the Greek epilepsia, which in turn can be broken in to epi- (upon) and lepsis (to take hold of, or seizure)[1]
- In the past, epilepsy was associated with religious experiences and even demonic possession.
- In ancient times, epilepsy was known as the “Sacred Disease” because people thought that epileptic seizures were a form of attack by demons, or that the visions experienced by persons with epilepsy were sent by the Gods.
- Among animist Hmong families, for example, epilepsy was understood as an attack by an evil spirit, but the affected person could become revered as a shaman through these otherworldly experiences.[3]
- However, in most cultures, persons with epilepsy have been stigmatized, shunned, or even imprisoned.
- In the SalpΓͺtriΓ¨re, the birthplace of modern neurology, Jean-Martin Charcot found people with epilepsy side-by-side with the mentally retarded, those with chronic syphilis, and the criminally insane.
- In Tanzania to this day, as with other parts of Africa, epilepsy is associated with possession by evil spirits, witchcraft, or poisoning and is believed by many to be contagious.[2]
- In ancient Rome, epilepsy was known as the Morbus Comitialis (‘disease of the assembly hall’) and was seen as a curse from the gods.
- Stigma continues to this day, in both the public and private spheres, but polls suggest it is generally decreasing with time, at least in the developed world.
- Hippocrates remarked that epilepsy would cease to be considered divine the day it was understood.[3]
- Claudius Galen was the first person who described epilepsy as a brain disease.
- Boerhaave was the first person who differentiate petit mal epilepsy, grand mal epilepsy and hysteria.
- Marshall Hall described reflex theory in which paroxysmal nervous discharges are responsible for epilepsy seizures.[4]
- Important Investigators of Epilepsy:
Landmark Events in the Development of Treatment Strategies
Landmark Events in the Development of Treatment Strategies
- The very first evidence of epilepsy treatment goes back to 10,000 years ago when making holes in skull bones was done in order to treat epilepsy.[4]
- In the past three decades anti-epileptic drugs are used widely for symptomatic control of epileptic patients.[5][6]
Famous Cases
Famous Cases
The following are a few famous cases who are said to have had epilepsy:[7]
- Pythagoras (582β500 BC)
- Aristotle (384β322 BC)
- Hannibal (Barca) (247β183 BC)
- Alfred the Great (849β899)
- Dante Alighieri (1265β1321)
- Johanne la Pucelle (Joan of Arc) (1412β1431)
- Leonardo da Vinci (1452β1519)
- Michelangelo Buonarroti (1475β1564)
- Armand-Jean du Plessis (Cardinal Richelieu) (1585β1642)
- King Louis XIII of France (1601β1643)
- Jean-Baptiste Poquelin-MolieΒ΄re (1622β1673)
- Blaise Pascal (1623β1662)
- Sir Isaac Newton (1642β1727)
- William of Orange (1650β1702)
- Jonathan Swift (1667β1745)
- George Frideric Handel (1685β1759)
- William Pitt, Earl of Chatham (1708β1778)
- Samuel Johnson (1709β1784)
- Jean Jacques Rousseau (1712β1778)
- James Madison (1751β1836)
- Ludwig von Beethoven (1770β1827)
- Sir Walter Scott (1771β1832)
- Niccolo Paganini (1784β1840)
- George Gordon, Lord Byron (1788β1824)
- Percy Bysshe Shelley (1792β1822)
- Louis Hector Berlioz (1803β1869)
- Edgar Allan Poe (1809β1849)
- Alfred Lord Tennyson (1809β1892)
- Robert Schumann (1810β1856)
- Charles Dickens (1812β1870)
- SΓΈren Aabye Kierkegaard (1813β1855)
- Hermann Ludwig Ferdinand Von Helmholtz (1821β1894)
- Gustave Flaubert (1821β1880)
- Leo Tolstoy (1828β1910)
- Charles Lutwidge Dodgson, Lewis Carroll (1832β1898)
- Alfred Nobel (1833β1896)
- William Morris (1834β1896)
- Algernon Charles Swinburne (1837β1909)
- Henri-ReneΒ΄-Albert Guy de Maupassant (1850β1893)
- Agatha (Miller) Christie (1890β1976)
- Truman (Streckfus Persons) Capote (1924β1984)
- Richard Burton (1925β1984)
Many studies demonstrated that there are doubts about diagnosis of epilepsy in these patients.
References
References
- β Harper, Douglas (2001). “epilepsy”. Online Etymological Dictionary. Retrieved 2005-06-05.
- β Morbus sacer in Africa: some religious aspects of epilepsy in traditional cultures. Jilek-Aall L. PMID: 10080524 Retrieved 8 October 2006.
- β Hippocrates quotes
- β 4.0 4.1 4.2 Hassell, Thomas (1981). Epilepsy and the oral manifestations of phenytoin therapy. Basel New York: Karger. ISBNΒ 978-3-8055-1008-0.
- β LΓΆscher W, Schmidt D (April 2011). “Modern antiepileptic drug development has failed to deliver: ways out of the current dilemma”. Epilepsia. 52 (4): 657β78. doi:10.1111/j.1528-1167.2011.03024.x. PMIDΒ 21426333.
- β Schmidt D (June 2012). “Is antiepileptogenesis a realistic goal in clinical trials? Concerns and new horizons”. Epileptic Disord. 14 (2): 105β13. PMIDΒ 22977896.
- β Hughes JR (March 2005). “Did all those famous people really have epilepsy?”. Epilepsy Behav. 6 (2): 115β39. doi:10.1016/j.yebeh.2004.11.011. PMIDΒ 15710295.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.,Vishnu Vardhan Serla M.B.B.S. [2]
