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
[Footnote 12: Westphal, _Charité Annalen_, vii. p. 446, 1882; Stenger,
_Archiv f. Psychiatrie u. Nervenkrankheiten_, xiii. p. 240, Case
viii.; Wernicke u. Hahn, _Virchow's Archiv_, lxxxvii. p. 325; Ball and
Seguin, _Archives of Medicine_, New York, v. p. 136.]
[Footnote 13: Spitzka, “A Contribution to the Morbid Anatomy and
Symptomatology of Pons Lesions,” _American Journal of Neurology and
Psychiatry_, ii. p. 617 (1883).]
(_ζ_) Lesions of the cortical area for common cutaneous sensibility
cannot be positively recognized at the present time. By exclusion of
the better-known centres, and from experimental data, we may
approximately locate it in the gray matter lying ventrad of (below)
the inferior parietal lobule, extending to the base, and possibly the
mesal aspect, of the temporal lobe, and possibly also on the lateral
aspect of the occipital lobe.
2. LESIONS OF THE KINESODIC SYSTEM OF THE ENCEPHALON.—The kinesodic
system is far better understood, anatomically and physiologically,
than the æsthesodic. Its limits, beginning from the junction of the
cord and oblongata, are as follows: The pyramids, containing the
fibres of the direct and crossed pyramidal fasciculi of the cord (Fig.
5, Nos. 10 and 11), form the meso-basal aspect of the oblongata,
appearing on either side of the median line as two large distinct
bundles of white substance which enter the pons under its projecting
transverse fibres. Within the pons each pyramid is divided into quite
a number of fasciculi more or less separated by fibres of other
systems. Again collected, these bundles constitute a considerable part
of the crus cerebri—its basal middle two-fifths. (The outer or
latero-dorsal one-fifth part of the crus belongs to the æsthesodic
system, the middle (intermediate) two-fifths are the pyramidal fibres,
and the remaining two-fifths, meso-basal part, contain some fibres
from the direct cerebral motor tract destined for the hypoglossal and
facial nuclei, and also large bundles probably derived from the
nucleus caudatus and frontal lobes). As the crus enters the cerebrum
and becomes what we know as the internal capsule, the pyramidal fibres
occupy the bend or elbow of the capsule and part of its caudal segment
(vide Fig. 7).
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