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
There are two ways in which this important subject may be treated. Of
these, the more interesting and logical would be to systematically
expose the results of anatomical researches and of physiological
experiments which tend to demonstrate the organic independence and the
functions of various parts of the nervous system, and to give a
classified series of results of autopsies bearing on localization.
This would be all the more satisfactory because the questions
involved, although of much importance in practice, are in reality
physiological. The localization of functions being known, the
physician could from the symptoms (_i.e._ perverted or abolished
functions) present make a deductive diagnosis of great exactness. A
treatise on medicine, however, cannot allow the space necessary for
such a treatment of the topic which is best suited for monographic
writing. The other method of exposition, the one we will follow, is
that of summary statement of the association of the symptoms with
definite lesions, with occasional anatomical and physiological
explanations. This will, after all, be a series of diagnostic
propositions stated as concisely and classified as practically as
possible. With this end in view we divide the subject into five parts:
The localization of lesions in the peripheral nervous system
(including the cauda equina);
The localization of lesions in the spinal cord;
The localization of lesions in the medulla oblongata;
The localization of lesions in the encephalon.
Cranio-cerebral topography.
I. Localization of Lesions in the Peripheral Nervous System.
In general terms, it may be said that lesions of peripheral
(cerebro-spinal) nerves give rise to various sensory symptoms in the
area of cutaneous distribution of the affected nerves, and to a
flaccid atrophic paralysis in muscles supplied by the same nerves.
These muscles almost always exhibit the De R. in varying degrees, and
other trophic and vaso-motor symptoms are common. Many of these
symptoms also occur in cerebral and spinal diseases, so that, after
all, the diagnosis of peripheral localization depends largely on a
correct knowledge of the course and {66} distribution of nerves; of
the relative distribution of the sensory and motor filaments of
nerve-trunks; and of the frequent anomalies which occur. The subject
of collateral innervation at the periphery must also receive
attention, as involving a source of error.
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account