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Combining Solid-state and Solution-based Techniques: Synthesis and Reactivity of Chalcogenidoplumbates(II or IV)
Published on: December 29, 2016
Sir Charles Locock and potassium bromide
1Faculty of Health Sciences, University of Queensland, Royal Brisbane and Women's Hospital, Australia. M.Eadie@uq.edu.au
Insights
Potassium bromide was reported as an effective epilepsy treatment in 1857, but initial accounts may be unreliable. Independent evidence in 1861 solidified its role as an early antiepileptic drug.
Area of Science:
- Neurology
- Medical History
Background:
- The introduction of potassium bromide as an antiepileptic treatment is often attributed to Sir Charles Locock in 1857.
- Locock reportedly used potassium bromide to successfully treat women with 'hysterical' or catamenial epilepsy.
Discussion:
- Contemporary reports of Locock's comments raise questions regarding their accuracy and the extent of the drug's efficacy.
- Subsequent clinical observations by other physicians did not consistently replicate the high success rates initially reported.
Key Insights:
- The initial widespread adoption of potassium bromide for epilepsy was potentially hindered by inconsistent results and questionable reporting.
- Samuel Wilks's independent and robust evidence in 1861 was crucial in establishing the antiepileptic properties of potassium bromide.
Outlook:
- Re-evaluation of historical medical reports is essential for accurate understanding of early therapeutic interventions.
- This case highlights the importance of rigorous scientific validation in establishing the efficacy of new medical treatments.
Abstract:
On 12 May 1857, Edward Sieveking read a paper on epilepsy to the Royal Medical and Chirurgical Society in London. During the discussion that followed Sir Charles Locock, obstetrician to Queen Victoria, was reported to have commented that during the past 14 months he had used potassium bromide to successfully stop epileptic seizures in all but one of 14 or 15 women with 'hysterical' or catamenial epilepsy. This report of Locock's comment has generally given him credit for introducing the first reasonably effective antiepileptic drug into medical practice. However examination of the original reports raises questions as to how soundly based the accounts of Locock's comments were. Subsequently, others using the drug to treat epilepsy failed to obtain the degree of benefit that the reports of Locock's comments would have led them to expect. The drug might not have come into more widespread use as a result, had not Samuel Wilks provided good, independent evidence for the drug's antiepileptic efficacy in 1861.
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