The photos of Plate III present the case of a fifteen year-old girl – addressed by Stevens as "I. B." – who suffered from epileptic siezures beginning in her twelfth year. She was first treated by Doctor A. H. Allen of New London Connecticut who put her on a daily regimen of saturated bromide of ammonia which was steadily increased over a year to a dosage of 240 grains of bromide by the time of her first consultation with Dr. Stevens who then observed that her "face was devoid of any expression of intelligence, and saliva flowed from the angles of her mouth." Dr. Stevens immediately discontinued the bromide and attempted to measure the visual defect in his subject who exhibited dementia and who could speak only in monosyllables with a voice "smothered in the fluids of her mouth." Dr. Stevens then operated on the externi of both eyes, giving the following account:
[...From June 4th (the day of the operation) to June 14th no attacks occurred. From June 14th to June 21st she had eight attacks. June 21st to June 28th, Three attacks, all of which were unusually light. No petit mal since June 4th.
July 7th, she returned home, her last attack having occurred June 25th. The change in her mental condition had been since the operations truly marvelous, and her physical condition had equally improved. The photograveurs, Figs. 1 and 2, Plate III, exhibit the changes of physiognomy which occurred during a single month. Fig. 1 is from a photograph taken just preceding the first operation ; Fig. 2 is from one taken a month later.
From time to time the patient has been seen. She continues in robust health and her intellect has returned. An attempt to send her to school, some months after her return home, was followed by a very slight relapse, but her friends were advised to wait a year before allowing her much close use of her eyes. A year after this her condition continued good with no return of the malady, and a year and a half after the operation, her physician wrote that she continued well. (I have heard, indirectly, just as this manuscript is about to be sent to press, that the girl has a renewal of her attacks. If so, she has, beyond a doubt, some remaining muscular disability, which may still be removed.)]*
