B R (9548)

Admission Details for Patient: B D R (9548)

Gender: Female Age: 32
Marital Status: Single Religion: Church of England
Occupation: Schoolteacher
Address: Bettwsycoed, Carnarvonshire

Date of Admission: November 22, 1920
Date of Death: October 11, 1956
Cause of Death:

Disease: Epileptic insanity
Supposed Cause: Epilepsy/heredity

Medical Certificate:
The said B D R has been under my care for seven years and eight months suffering from intractable epilepsy. J R, father, says that the said B D R suddenly approached him and raising her hands to his neck threatened to choke him. S R, says that B D R jumps out of bed and behaves in an aimless way as if she were not knowing what she is doing. Norman Porritt, Bettws y Coed, 21st Nov 1920.

Approximate duration of present attack: Several years

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: A cousin died in the asylum

Epileptic: Yes

Suicidal: No

Dangerous: Yes, threatened

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Moderate health. A stupid looking woman with a rather inane look. She is slow at answering questions and says she cannot quite understand what has been happening.

Current Diagnosis: Epilepsy

Case Notes

1920 Nov 25 (copy of official report) - Suffering from Insanity with Epilepsy. Since admission she has had no epileptic seizures and has been quiet and well conducted. She is slow answering questions and her memory is defective. She is rather dazed and does not realise her position.

Has marks upon her forehead and face, the result of falls during previous epileptic seizures.

Dec - No change.

1921 Jan - Has had a few seizures at night.

Feb - In much the same condition.

Apr - Rather dull and indifferent. Seizures are not numerous.

May - Has had numerous fits lately.

Now very confused and has vague delusions of different kinds.

Aug - Fits still persistent.

1921 Oct (copy report) - Suffering from Insanity with Epilepsy. After her epileptic seizures she becomes very confused and very troublesome and dirty in her habits. She has on average four fits per month.

Subsequent notes indicate little change in her condition.

Occasional status.

A Special Report dated Nov 1952 describes her as suffering from psychosis with epilepsy. She is childish, demented, says she is only 40, has no idea of time or place and her conversation is rambling and incoherent. She is noisy and aggressive at times. She has three major epileptic fits a month.

Medications/Treatments: Phenobarb, Paraldehyde, Sod. Amytal, Na. Amytal