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the cause of the accused leaving the Durrington hotel. His last recollection, as he told me at the time, was entering the breakfast-room; he came to his senses in his bedroom, with strangers in the room."

"Does not recollection return completely in attacks of petit mal?"

"Sometimes it does; sometimes not. I remember a[Pg 191] case in my student days where an epileptic violently assaulted a man in the street—almost murdered him in fact—then assaulted a man who tried to detain him, ran away, and remembered nothing about it afterwards."

"Is it consistent with petit mal, combined with furor epilepticus, for a man to commit murder, conceal the body of his victim, and remember nothing about it afterwards?"

"Quite consistent, though the probability is, as I said before, for him to have some hazy recollection when he came to his senses, which would lead to his leaving that place as quickly as he could."

"Would it be consistent with petit mal for a man to take a weapon away beforehand, and then, during a sudden fit of petit mal, use it upon the unfortunate victim?"

"If he took the weapon for another purpose, it is quite possible that he might use it afterwards."

"I should like to have that a little clearer," said the judge, interposing. "Do you mean to get the weapon for another, possibly quite innocent purpose, and then use it for an act of violence?"

"Yes, my lord," replied Sir Henry. "That is quite consistent with an attack of petit mal."

"When a man has periodical attacks of petit mal, would it not be possible, by observation of him between the attacks, or when he was suffering from the attacks, to tell whether he had a tendency to them?"

"No, only in a very few and exceptional cases."

"In your opinion epilepsy is an hereditary disease?"

"Undoubtedly."

"Are you aware that certain eminent French specialists, including Marie, are of the opinion that hereditary influences play a very small part in epilepsy?"[Pg 192]

"That may be." Sir Henry dismissed the views of the French specialists with a condescending wave of his fat white hand.

"That does not alter your own opinion?"

"Certainly not."

"And do you say that because this man's mother suffered from epilepsy the chances are that he is suffering from it?"

"Pardon me, I said nothing of the kind. I think the chances are that he would have a highly organised nervous system, and would probably suffer from some nervous disease. In the case of the prisoner, I should say that shell-shock increased his predisposition to epilepsy."

"Do you suggest that shell-shock leads to epilepsy?"

"In general, no; in this particular case, possibly. A man may have shell-shock, and injury to the brain, which is not necessarily epileptic."

"It is possible for shell-shock alone to lead to a subsequent attack of insanity?" asked the judge.

"It is possible—certainly."

"How often do these attacks of petit mal occur?" asked Sir Herbert.

"They vary considerably according to the patient—sometimes once a week, sometimes monthly, and there have been cases in which the attacks are separated by months."

"Are not two attacks in twenty-four hours unprecedented?"

"Unusual, but not unprecedented. The excitement of going from one place to another, and walking miles to get there, would be a predisposing factor. Prisoner would have been suffering from the effects of the first attack when he left the Durrington hotel, and the excite[Pg 193]ment of the change and the fatigue of walking all day would have been very prejudicial to him, and account for the second and more violent attack."

"How long do the after effects last—of an attack of petit mal, I mean."

"It depends on the violence of the attack. Sometimes as long as five or six hours. The recovery is generally attended with general lassitude."

"There is no evidence to show that the prisoner displayed any symptoms of epilepsy before the attack which you witnessed at the Durrington hotel. Is it not unusual for a person to reach the age of twenty-eight or thereabouts without showing any previous signs of a disease like epilepsy?"

"There must be a first attack—that goes without saying," interposed the judge testily.

That concluded the cross-examination. Mr. Middleheath, in re-examination, asked Sir Henry whether foam at the lips was a distinguishing mark of epilepsy.

"It generally indicates an epileptic tendency," replied Sir Henry Durwood.

At the conclusion of Sir Henry Durwood's evidence Mr. Middleheath called an official from the War Office to prove formally that Lieutenant James Penreath had been discharged from His Majesty's forces suffering from shell-shock.

"I understand that, prior to the illness which terminated his military career, Lieutenant Penreath had won a reputation as an exceedingly gallant soldier, and had been awarded the D.S.O," said Mr. Middleheath.

"That is so," replied the witness.

"Is that the case?" asked the judge.

"That, my lord, is the case," replied Mr. Middleheath.

Sir Herbert Templewood, on behalf of the Crown, pro[Pg 194]ceeded to call rebutting medical evidence to support the Crown contention that the accused was sane and aware of the nature of his acts. The first witness was Dr. Henry Manton, of Heathfield, who said he saw the accused when he was brought into the station from Flegne by Police Constable Queensmead. He seemed perfectly rational, though disinclined to talk.

"Did you find any symptom upon him which pointed to his having recently suffered from epilepsy of any kind?" asked Sir Herbert.

"No."

"Do you agree with Sir Henry Durwood that between attacks of epilepsy the patient would exhibit no signs of the disease?" asked Mr. Middleheath.

"What do you mean by between the attacks?"

"I mean when he had completely recovered from one fit and before the next came on," explained counsel.

"I quite agree with that," replied the witness.

"How long does it usually take for a man to recover from an attack of epilepsy?"

"It depends on the severity of the attack."

"Well, take an attack serious enough to cause a man to commit murder."

"It may take hours—five or six hours. He would certainly be drowsy and heavy for three or four hours afterwards."

"But not longer—he would not show symptoms for thirty-six hours?"

"Certainly not."

"Then, may I take it from you, doctor, that after the five or six hours recovery after a bad attack an epileptic might show no signs of the disease—not even to medical eyes—till the next attack?"[Pg 195]

"I should say so," replied the witness. "But I am not an authority on mental diseases."

"Thank you."

The next witness was Dr. Gilbert Horbury, who described himself as medical officer of His Majesty's prison, Norwich, and formerly medical officer of the London detention prison. In reply to Sir Herbert Templewood, he said he had had much experience in cases of insanity and alleged insanity. He had had the accused in the present case under observation since the time he had been brought to the gaol. He was very taciturn, but he was quiet and gentlemanly in his behaviour. His temperature and pulse were normal, but he slept badly, and twice he complained of pains in the head. Witness attributed the pains in the head to the effect of shell-shock. He had seen no signs which suggested, to his mind, that prisoner was an epileptic. In reply to a direct question by Sir Herbert Templewood, he expressed his deliberate professional opinion that the accused was not suffering from epilepsy in any form. Epilepsy did not start off with a bad attack ending in violence—or murder. There were premonitory symptoms and slight attacks extending over a considerable period, which must have manifested themselves, particularly in the case of a man who had been through an arduous military campaign. His illness might have had a bad effect on the brain, but if it had led to mental disease he would have expected it to show itself before.

From this point of view the witness, a dour, grey figure of a man, refused to be driven by cross-examination. His many professional years within the sordid atmosphere of gaol walls had taught him that most criminals were malingerers by instinct, and that pretended insanity was the commonest form of their imposition to evade the[Pg 196] consequence of their misdeeds. The number of false cases which had passed through his hands had led him to the very human conclusion that all such defences were merely efforts to defraud the law, and, as a zealous officer of the law, he took a righteous satisfaction in discomfiting them, particularly when—as in the present instance—the defence was used to shield an accused of some social standing. For Dr. Horbury's political tendencies were levelling and iconoclastic, and he had a deep contempt for caste, titles, and monarchs.

He was too sophisticated as a witness to walk into Mr. Middleheath's trap and contradict Sir Henry's evidence directly, but he contrived to convey the impression that his own observation of accused, covering a period of nine days, was a better guide for the jury in arriving at a conclusion as to the accused's state of mind than Sir Henry's opinion, formed after a single and limited opportunity of diagnosing the case. He also managed to infer,

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