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5 - Sparks from a Leyden jar

Jackson’s epilepsy

Published online by Cambridge University Press:  05 March 2014

Douwe Draaisma
Affiliation:
Rijksuniversiteit Groningen, The Netherlands
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Summary

It would perhaps be an exaggeration to say that John Hughlings Jackson regarded constitutional law as a branch of neurology, but it is not far off the mark. In his version of the human brain, the balance of power between the higher and lower parts mirrored the public order which reigns in a state with a powerful central authority. The government has its seat in the convolutions of the frontal lobes, the part of our nervous system that thinks, takes decisions, and monitors the activities of the lower parts of the brain. As long as the upper parts are able to exert their authority undisturbed, we remain unaware of the activities of the lower parts. When that order is undermined, however, the consequences are disastrous. In an epileptic seizure, for example, the loss of control causes the disinhibition of lower brain parts, resulting in spasms and convulsions. Jackson saw epilepsy as the neurological equivalent of rebellion and anarchy.

Jackson was a Victorian, and very much so. In an article dating from 1884, he compared the upper parts of the brain to the twenty-four admirals who constituted the Navy Board, presiding over a fleet which helped to maintain control over the British Empire. An epileptic seizure, he explained, is like an order given by an admiral who has suddenly lost his mind: chaos breaks out among his subordinates. Thinking in terms of hierarchies was second nature to Jackson, and for him it was self-evident that the hierarchy in our brain was evolutionary in origin. In 1859, the same year that Jackson moved permanently to London, Darwin’s On the Origin of Species appeared, and the philosopher Herbert Spencer published his theory that higher and more complex brain structures evolve from lower structures, exercising supervision over them. In a healthy brain, order and authority reign.

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Publisher: Cambridge University Press
Print publication year: 2009

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References

Jackson, J. H., ‘Evolution and dissolution of the nervous system’, The Lancet, 1 (1884), 649–52 (649).Google Scholar
Critchley, M. and Critchley, E., John Hughlings Jackson: Father of English Neurology (Oxford, 1998Google Scholar
Holmes, G., ‘John Hughlings Jackson (1835–1911)’ in Kolle, K. (ed.), Grosse Nervenärzte (Stuttgart, 1956), vol. I, pp. 135–44.Google Scholar
Jackson, J. H., Selected Writings of John Hughlings Jackson, 2 vols. (Taylor, J. (ed.), London, 1931–1932)Google Scholar
Savage, G., ‘Dr John Hughlings Jackson on mental disorders’, Journal of Mental Science, 63 (1917), 316.CrossRefGoogle Scholar
Temkin, O., The Falling Sickness: a History of Epilepsy from the Greeks to the Beginnings of Modern Neurology (Baltimore/London, 1971).Google Scholar
Reynolds, E. H., ‘Todd, Hughlings Jackson, and the electrical basis of epilepsy’, The Lancet, 358 (2001), 575–7.CrossRefGoogle Scholar
Bravais, L.-F., Recherches sur les symptômes et le traîtement de l’épilepsie hémiplégique (Paris, 1827).Google Scholar
Ferrier, D., The Functions of the Brain (London, 1876).CrossRefGoogle Scholar
Hogan, R. E. and Kaiboriboon, K., ‘ “The dreamy state”: John Hughlings Jackson’s ideas of epilepsy and consciousness’, American Journal of Psychiatry, 160 (2003), 1740–7.CrossRefGoogle ScholarPubMed
Jackson, J. H., ‘On a particular variety of epilepsy (intellectual aura); one case with symptoms of organic brain disease’, Brain, 11 (1888), 179–207CrossRefGoogle Scholar
Kapur, N. (ed.), Injured Brains of Medical Minds (Oxford, 1997).
Taylor, D. C. and March, S. M., ‘Hughlings Jackson’s Dr Z: the paradigm of temporal lobe epilepsy revealed’, Journal of Neurology, Neurosurgery, and Psychiatry, 43 (1980), 758–67.CrossRefGoogle Scholar
Draaisma, D., Why Life Speeds Up as You Get Older (Cambridge, 2004CrossRefGoogle Scholar
Jackson, J. H. and Colman, W. S., ‘Case of epilepsy with tasting movements and “dreamy state”: very small patch of softening in the left uncinate gyrus’, Brain, 21 (1898), 580–90CrossRefGoogle Scholar
York, G., ‘Hughlings Jackson’s evolutionary neurophysiology’ in Clifford Rose, F. (ed.), A Short History of Neurology: the British Contribution 1660–1910 (Oxford, 1999), pp. 151–64.Google Scholar
Fenwick, P., ‘The nature and management of aggression in epilepsy’, Journal of Neuropsychiatry, 1 (1989), 418–24.Google ScholarPubMed
Head, H., ‘Hughlings Jackson on aphasia and kindred affections of speech’, Brain, 38 (1915), 1–27.CrossRefGoogle Scholar
Joynt, R. J., ‘The great confrontation: the meeting between Broca and Jackson in 1868’ in Clifford Rose, F. and Bynum, W. F. (eds.), Historical Aspects of the Neurosciences (New York, 1982), pp. 99–102.Google Scholar
Bateman, F., On Aphasia (London, 1890), pp. 201–2.Google Scholar
Spencer, H., Principles of Psychology (London, 1855).CrossRefGoogle Scholar
Smith, R., Inhibition: History and Meaning in the Sciences of Mind and Brain (London, 1992).Google Scholar
Rosenfield, I., The Invention of Memory: a New View of the Brain (New York, 1988).Google Scholar
Richer, P., Études cliniques sur l’hystéro-épilepsie ou grande hystérie (Paris, 1881).Google Scholar
Charcot, J.-M., Leçons du Mardi à la Salpêtrière, 2nd edn (Paris, 1892Google Scholar

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