Enigmatic 'fits': Organic, psychogenic, both or neither?

摘要

From the age of 12 to 21, he had 'both major fits and minor episodes of blank-ness averaging about once a week'. Serial EEGs showed mildly abnormal changes but without epileptic paroxysmal changes. He was reviewed by many clinicians and was treated with antiepileptic medication, with only modest benefit. In October 1963, he read an article in the New Scientist titled, 'What too much vitamin A does to cells', and concluded that dietary vitamin A was responsible from his epilepsy. He eliminated vitamin A from his diet and during the next 5 years suffered only one attack, which he attributed to a dietary indiscretion. He became convinced that his diet and freedom from fits were connected. Certainly, his diet was very efficient; his serum levels were the lowest recorded in the UK.