The Use of Strontium Bromide in Epilepsy.—In the Lancet of October 15th, 1898, Professor A. Roche (Dublin) continues his account of his treatment of epilepsy by the use of strontium bromide. Some cases he considers as cured, since there has been no recurrence of fits for periods varying from two to four years. He cannot say as yet whether the recovery can be called permanent. Its use always diminishes the fits, and any failure there has been he puts down to his directions not being carried out properly. His routine practice is to start with half-drachm doses night and morning, given with a bitter infusion, which are gradually increased. For full benefit it is necessary to continue the drug over a long period of time. He has never found it to result in any bad consequences, and has given it in drachm doses daily without intermission for three years, and three drachms daily for weeks without any untoward incident occurring. It does not appear to have any constitutional symptoms like potassium or sodium salts, and can be given in larger doses and for a greater period of time than the latter. He quotes Dixon Mann, who remarks that strontium salts cannot be considered as poisonous. Dr. Lochart Gillespie, who has given strontium salis in the treatment of exophthalmic goitre in children (Brit Med. Journ., Oct., 1898), holds the same views. The use of salicyclate of strontium in rheumatism is to be strongly recommended on the same grounds. In no case, as far as one knows, has the use of iodide or bromide of strontium ever produced a rash. Germain Sec has found the bromide salt of benefit in dyspepsia. This would make it particularly suitable in epilepsy. It ought to be remembered that the bromide salt is deliquescent, and therefore ought not to be prescribed in powder.
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