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 — John Shaqi
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.
=Atrophy.= In this condition, there is found a general diminution of the
volume of the brain, and especially of the convolutions. The latter are
shrunk, narrow, and sometimes softened, while the sulci are large and
open, the brain receding from the skull, and the pia mater greatly
injected with serous fluid, giving the appearance of a jelly-like
investment to the whole brain.
The brain substance is at the same time soft, the ventricles enlarged
and filled with fluid, while a large amount of serum will flow from the
sub-arachnoid space at the base of the brain, and from the spinal canal.
While this condition of the brain might be looked upon as a result of
pressure from the accumulated serum, the absence of the usual symptoms
of hydrocephalus, with the known history of these cases, renders it
quite probable that the change commences as an actual loss of brain
substance, the place of the latter being supplied with serous fluid.
Resulting from atrophy of the brain, there will often be found an
increased thickness of the cranial bones, this being another
conservative effort of nature to preserve the normal support and
pressure upon the brain.
Atrophy of the brain is sometimes found in old age and in various
enfeebling diseases, where all the organs suffer more or less waste from
improper nutrition, but it is so frequently found with drunkards,
especially those who have died with _delirium tremens_, that this
condition may, in the large majority of cases, be considered as the
effect of intemperance.
Several forms of atrophy may also be observed. It may be confined to
some portion of the convoluted surface, or to one of the striated bodies
or optic beds. Atrophy of the optic tracts, or nerves of one or both
eyes, is not unfrequently associated with loss of sight from amaurosis.
Tumors of the Brain.
The brain, like other parts of the body, is subject to morbid growths of
a great variety of forms. The symptoms of tumors in the brain, in many
points, present such resemblances to other forms of disease, that it is
usually the post-mortem alone, that will determine the fact of their
presence or character. It may be said in general, however, that the
effects of morbid growths in the brain will vary according: 1. To the
changes in the surrounding cerebral substance; 2. To the size of the
growth; and 3. To the position of the brain in which it may be
developed.
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