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.
[=Notice= in examination. 1. _Vertebræ._—Condition of several parts;
caries, etc. 2. _Vertebral Canal._—Proportion to cord; contained
fluid; serum, pus or blood; amount, etc.; condition of spinal veins.
3. _Membranes of cord._—Bulging of any part; thickening; congestion;
morbid growths, etc.; fluids within; amount, color, etc. 4. _Spinal
cord._—Weight; size; condition of fissures; of interior, as seen on
section; softening; exact point of; roots of nerves; pressure upon,
etc.]
From the continuity and identity of structures, the spinal cord is
subject to essentially the same diseases as those of the brain.
1. The Membranes.
=Inflammation= of the latter may exist alone, or in connection with that
of the membranes of the brain, constituting _cerebro-spinal meningitis_.
Inflammation of the dura mater is an uncommon occurrence. The
inflammation in spinal meningitis is almost wholly confined to the pia
mater, this being the more vascular of the membranes. A pale reddish, or
sometimes purple color, with a bloody jelly-like infiltration,
characterizes the earlier stage, while at a later period the membrane
presents a greyish or dirty yellow appearance, from the presence of a
thick pus-like substance covering the surface. Such inflammations may be
either idiopathic, rheumatic or traumatic in their origin.
In _spotted fever_ the inflammation extends to the pia mater of the base
of the brain, and is remarkable from the epidemic form which it
sometimes assumes.
=Tubercular= deposits, as well as _tumors_ of various kinds, may be
found connected with the spinal membranes, so similar to those described
with the cerebral membranes, as not to require separate notice.
=Serous effusion= may be found in the spinal canal, in the same cases
when it exists in the cranial cavity, and may be either a diffusion of
fluid through the sub-arachnoid space, that has been effused in the
brain, or it may originate from the membranes of the cord itself. The
fluid may be either between the vertebræ and dura mater, or between the
latter and the pia mater.
A peculiar form of dropsy of the spine is sometimes found, congenital in
its nature, and accompanied with a deficiency in the spinal column, by
means of which a cleft remains in the arch of one or more of the
vertebræ; hence the name, _Spina bifida_, as applied to this disease.
The effusion in these cases, taking place before the vertebræ are fully
developed, the pressure from within prevents the final closure of the
canal posteriorly; when, from want of support at that point, the
membranes and covering tissues, yielding to the pressure from the
accumulating fluid, gradually protrude at that point, producing a
rounded fluctuating tumor. The disease is more frequently found in the
lumbar region, although it may occur in the dorsal or cervical, and in
some cases may involve the whole spinal column.
2. Spinal Marrow.
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