on Pediatrics is presented for the purpose of comparing the results of various forms of treatment, and to present a new dietary regimen, the ketogenic diet.Forty-six of the patients were males, and forty were females. The youngest patient was 1 year of age, the oldest 15 (the arbitrary age limit for patients in the Section on Pediatrics). The average age of the patients was eight and fifty-one hundredths years. The average duration of symptoms, as noted by the parents, was three and three-tenths years.Thirty patients had had previous treatment; in twenty-three of these the results of the treatment were fair, that is, there was a decrease in the number and in the severity of the attacks. The condition of twenty\x=req-\ two of the patients was diagnosed petit mal; of forty-one, grand mal, and of twenty-three, grand and petit mal. Forty-three patients had a history of hereditary taint or familial disease. Twenty had a definite family history of sick headache (migraine), nine of epilepsy, and fourteen of insanity, nervousness and so forth. In nineteen cases there was a history of difficult labor, and in twelve of these, delivery had been by instru¬ ment. Eight patients had had infantile convulsions ; four, severe injury, and ten especially severe acute infections. In sixty-eight cases, the dis¬ ease had been definitely progressive, the attacks increasing in number and severity ; in two, the number and severity of attacks had decreased, and in sixteen the disease was considered stationary. The only important point in the physical examination of these patients was the demonstration of foci of infection, such as dental caries, infected tonsils and adenoids, and in two patients, of defects in the skull. Thirty-eight patients had definite foci of infection. The Wasser¬ mann blood test was negative in all of the eighty-six patients. The roentgen-ray examination of the skull was negative in seventy-eight patients. In three there were areas of bone defect, old fractures ; and in three there was reported evidence of slight increase in intracranial pressure, but the patients had no other signs of increased intracranial pressure. The fundus was essentially normal in the entire series.
