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Excerpt from The American Journal of the Medical Sciences, Vol. 100 Case I. Terminal dementia of alleged traumatic origin. Trephining and exploration of brain, with great improvement, lasting nine months; relapse. Second operation; marked and increasing improvement. - May M., aet. twenty-eight, American by birth and parentage, and of good education; of rather slight physique but always in fair health. There is no family taint of insanity or personal history of neurotic tendency or mental instability. In April, 1884, she became deranged, the mental disability continuously increasing. In July of the same year she was admitted to the Illinois Hospital for the Insane, at Elgin, in the service of Dr. Church, and entered on the records as a case of subacute mania. The father, a very well educated and intelligent man, subsequently stated that the only assignable cause for his daughter's alienation was a knock she had given her head in coming up a cellar stairway. She was stunned by the blow and delirium lasting a few hours resulted. The details of this accident, coming through third parties, are not entirely reliable, and the portion of the head struck could only be inferred. A few days afterward a lady whom she was visiting thought her "out of her head." Gradually she grew worse, and finally was so unmanageable, though never violent, as to require hospital treatment and restraint. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works."