A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
In testing a subject's memory due attention should be paid to the law
of the survival of older and more interesting residua, as well as to
the power of the law of association. Such questions should be asked as
pertain to recent events in the patient's experience, and about
matters which are not closely related logically. A patient who might
tell us nearly all about his early personal experiences, his business
and family relations, incidents of his childhood, etc., would fail to
remember what he had for breakfast, what he did the day before, etc.
The physiological cause of real amnesia is impairment in the vitality
(nutrition) of ganglion-cells in the various cerebral sensory areas or
centres, and of the motor area as well (motor residua). In cases of
transitory amnesia we suppose this to be due to the action of toxic
agents, to anæmia, and impaired molecular or chemical nutrition, as
after acute diseases, in extreme debility, in psychoses, etc. In cases
of terminal permanent dementia, autopsies afford us evidence of
degeneration and disappearance of ganglion-cells: we find granular and
fatty pigmentation, atrophy, calcarous degeneration of these bodies,
thickening and shrinkage of the neuroglia, and degenerative changes in
blood-vessels. Doubtless degeneration or destruction of association
fasciculi of nerve-fibres in the cortex cerebri or in the white
substance plays a considerable part in the production of permanent
amnesia, but we are as yet unable to give a clear demonstration of
this. Theoretically, we may admit an organic loss of memory with the
following conditions of the brain: (1) diseased perceptive (sensory)
centres or motor area with normal association fasciculi; (2) normal
perceptive centres and motor area with degenerate or broken
association fasciculi, connecting these parts with one another and
with the more strictly ideational or expressive (centrifugal) areas
and parts of the brain and spinal cord.
Amnesia—or, more properly speaking, dulness of perception and
feebleness of retention of residua—occurs as a strictly congenital
condition from imperfect cerebral development, or a little later in
life from infantile diseases, constituting one of the aspects of
idiocy.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account