WHEN THE term "epilepsy" is mentioned, physician and layman alike immediately conjure up the familiar picture of a gross convulsion. Although grand mal epilepsy is the most obvious of the seizure disorders, there is a greater number of attacks which may never manifest themselves as typical "fits." Awareness of the variability of epileptic conditions and their management is of the utmost importance to all physicians, since recognition of the disease may save the patient needless examinations and laboratory studies and correct treatment will prevent progressive damage to the central nervous system. It is the purpose of this paper to discuss the various forms of epilepsy, with special emphasis on those ictal states which may be mistaken for other medical diseases.
It is difficult to estimate the true incidence of the epileptic states, since there are unquestionably a very large number of patients who have unrecognized seizures or who never