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.
1. The changes induced in the brain substance surrounding tumors are
usually, first, derangement of the circulation, and second, as a result
of this, effusion of serum, or finally, softening of a greater or lesser
amount of contiguous cerebral substance. Head-ache, with epileptic
attacks, loss of memory, irregular contraction of the muscles and
partial paralysis may accompany the vascular derangement, while as
softening or pulpy destruction supervenes, a general aggravation of all
the symptoms will follow, ending in death, either with coma or by a
sudden apoplectic attack.
2. Tumors of the brain of a _small size_, may be found after death from
other causes, that have evidently produced no symptoms during life; and
in other instances, they have induced no change until a few days before
death, in which cases, the convulsions, paralysis and coma which
precedes this result, must be attributed to the vascular disturbance in
the surrounding brain tissue.
3. The position of the tumor, will modify to some extent the character
of the symptoms manifested. When in the anterior lobes, loss or
impairment of speech is said to attend. While, when in the _corpus
striatum_, the motions of the legs and arms are disordered.
The following are the more commonly recognized tumors of the brain:
=Adenoid, or Glandular-like Tumors.= These are generally described as
resembling an enlarged lymphatic gland, both in color and density. They
may vary in size from a filbert to that of an orange. There may be a
single growth of this kind, or several, and they may be found in any
part of the brain.
=Tubercular or Scrofulous Tumors.= Under this head may be placed certain
bodies of a white or pale yellow color, firm, like soft cheese,
sometimes granular and friable, and consisting chiefly of a large
proportion of albuminous matter. They may be found first, as one or more
individual masses of considerable size; or second, sometimes as many
minute rounded bodies, distinct and separate from one another.
In examining the head of a hydrocephalic child of four years, with Dr.
von Tagan, we found attached to the underside of the middle lobe of the
left hemisphere, a body of a white cheesy consistence, and of the size
of half a hen’s egg. Connected with the cerebellum, was another tumor of
the same character, but smaller in size.[6]
Tubercular masses of this kind, may be found on the surface, or imbedded
in the substance of any portion of the cerebrum or cerebellum.
The second form of tubercular deposits, are confined almost wholly to
the gray matter of the surface. In one case, over two hundred of these
bodies were found scattered through the gray matter of the cerebrum and
cerebellum, of the size of a pea or bean, and of a pale yellow or bluish
color. When cut open, the interior of the bodies was found to resemble
boiled potatoes in consistency.
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