Degeneracy: Its Causes, Signs and ResultsTalbot, Eugene S. (Eugene Solomon)
History
Degeneracy: Its Causes, Signs and Results
Talbot, Eugene S. (Eugene Solomon)
Abnormalities, Human; Degeneration; Heredity, Human
The contrast between
this brain and the ideally normal one of the mathematician Gauss[247]
(Fig. 112) could not well be greater. Both of these as regards complexity
of gyres contrast very decidedly with both the foetal brain given by
Bastian (Fig. 113) and the idiot brain (Fig. 114) of a patient of Kiernan.
The persistency of embryonic features in the gyral arrangement is
excellently illustrated in Fig. 115, which represents the brain of an
imbecile examined by Spitzka. Here the convolutions in general were few,
large, and well marked.[248] The occipital and parietal lobes
preponderated in mass as compared with the temporal and frontal. The
latter were greatly hollowed out on the orbital face, and the gyri here
found were few, simple, and atypical. On the whole the convolutions of the
right hemisphere were better marked and the secondary folds more numerous
than those of the left hemisphere, and the type of the convolutions
presented differences on the two sides. The most pronounced differences
were exhibited in the island of Reil and in the occipital lobe. The island
of Reil on the left side had fewer and flatter gyri than that of the right
side, and resembled in its general aspect the first impression of the
brain of an orang-outang. The right island had six folds better marked
than those of the left side, but their type was more decidedly radiatory,
which was in relation with the unusual shortening of the insular field.
The external perpendicular occipital sulcus which Bischoff never found in
the adult human brain (but which has been found persistent in a case of
imbecility with moral perversion by Sander and in a sane neurotic
individual by Meynert) was finely marked upon the right side of the brain
under consideration. The fissure was very deep, its posterior wall was
slightly bevelled, and covered several secondary gyri of its anterior
walls. It differed in position from the similar fissures described by
Meynert and Sander in that it did not, as in these cases, unite with the
internal perpendicular occipital sulcus and thus simulate the arrangement
found in the anthropoid apes. It was merely the unobliterated external
occipital fissure of the embryo, and, as in the latter, its medial end if
prolonged would have fallen behind the internal perpendicular occipital
sulcus. The anomaly consisted therefore in the preservation of an
embryonic feature. The arrest of development involved the generally better
developed hemisphere. On the left side gyri and sulci were few and simple
but typical, the external perpendicular occipital sulcus being interrupted
by a broad crossing gyrus. On transverse vertical sections through the
hemispheres the average vertical thickness is found to be the same on both
sides and normal. The great ganglia were of relatively large dimension,
and the white mass of the hemisphere, aside from the internal capsule and
the other detachments mediating the connection of the cortex with lower
centres, relatively reduced.
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