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(i) On right or left sided spasm at the onset of epileptic paroxysms, and on crude sensation warnings, and elaborate mental states. By J. Hughlings Jackson, M.D., LL.D., F.R.S. Physician to the London Hospital, and to the National Hospital for the Epileptic and Paralysed. Brain 1880: 2; 192–206. With (ii) On a particular variety of epilepsy (‘intellectual aura’), one case with symptoms of organic brain disease. By J. Hughlings Jackson, M.D., LL.D., F.R.S. Brain 1888: 11; 179–207. With (iii) Case of epilepsy with tasting movements and ‘dreamy state’—very small patch of softening in the left uncinate gyrus. By J. Hughlings Jackson, M.D., F.R.C.P., LL.D., F.R.S. and Walter S. Colman, MD, F.R.C.P. Brain 1898: 21; 580–590. With (iv) Epileptic attacks with a warning of a crude sensation of smell and with the intellectual aura (dreamy state) in a patient who had symptoms pointing to gross organic disease of the right temporo-sphenoidal lobe. By J. Hughlings Jackson M.D., F.R.C.P., F.R.S. Physician to the National Hospital for the Epileptic and Paralysed and Purves Stewart, M.A., M.D., M.R.C.P Assistant-Physician to the Westminster Hospital. Brain 1899: 22; 535–549.
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Writing in 1898, Dr Hughlings Jackson brings up-to-date the case of a medical practitioner, patient Z, whose ‘dreamy state’ or intellectual aura associated with tasting movements, being the indirect ‘reflex’ results of an epileptic discharge in the gustatory region of (Sir David) Ferrier, he had first described in 1888. Patient Z having died from an overdose of chloral in January 1894, Dr Walter Colman now supplements the updated clinical description with neuropathological examination. At first, Z had episodes so slight that he ‘regarded the matter playfully’ but within a few years ‘he had a[n] haut mal and ... knew the evil meaning of the slight seizures he had disregarded’. Referring to notes scribbled in his case-book in 1877, Dr Jackson reminds himself that the dreamy state included a sense ‘as if it were familiar, but yet he could not remember it’ ... requiring Dr Z to ‘attend to what was