A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
=Softening.= To be able to recognize readily any change in the
consistency of the brain, clear ideas must first be had of the normal
density of this organ. This may be obtained from an examination of the
brain of some of the lower animals—as the sheep or ox—that has been
killed in a state of health. We shall then find that the brain presents
sufficient firmness to permit of its being handled without rupture of
its substance, and to allow of its being sliced into thin sections which
will support their own weight. The gray portion is somewhat softer than
the white, yet the fibrous character of the latter, becomes apparent
only after hardening in alcohol. If put into pure water, it continues
unchanged for eight or ten hours, and without any portion becoming
dissolved, or rendering the water any degree turbid. The consistence of
the brain varies, normally, at different periods of life. In the fœtus
and at birth, its softness approaches to semi-fluidity. From this to the
fifteenth or twentieth year, it gradually acquires the firmness of the
brain of the adult.
=Softening=, one of the most common variations from the normal
condition, is generally a mere result of inflammation of a chronic or
sub-acute form, accompanied with a fatty degeneration of nerve
substance. Under the microscope, the change is seen to consist in a
disintegration of the nerve fibres, the medullary substance breaking up
into large masses, and undergoing fatty metamorphosis. It may take place
either on the _external surface_ of the organ, or in the _septum
lucidum_ and _fornix_, the _corpora striata_, or _optic thalami_ of the
ventricle, the central parts of the _hemispheres_, the _cerebellum_, or
the _crura cerebri_, in the order mentioned.
While this change is usually the result of inflammation, as already
mentioned, it may accompany or succeed the following morbid conditions
of the organ: 1. It may be the result of congestion of the vessels of
some portion of the brain. In this case, the softened portion is
reddish, crimson, or brown in color. 2. It may follow the effusion of
blood in apoplexy. The softened portion is then of a brownish color, or,
if considerable time has elapsed, it may be of a dirty ash color,
tending to green. 3. It may accompany or follow the process which
terminates in serous effusions. It is then of a milky-white color. 4. It
may take place in the brain substance immediately around tumors, when
its color may present a variety of tints.
Among the causes tending to induce this condition of the brain, may be
mentioned a diseased state of its blood vessels, or their obstruction by
fibrinous clots; constitutional syphilis; excessive mental labor, or
frequently repeated epileptic convulsions. The consistency will be found
to vary from a slight change from the normal condition, to that of a
soft, pulpy, or even cream-like condition.
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