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
to go so far requires such time, while to go further requires a much
greater. The crude ideas of space at this time must involve areas in the
cortex devoted to motion and to general sensation situated in the Rolandic
region. Those devoted to visual impressions are largely situated in the
occipital region, and those devoted to time may be located in the frontal
lobes. Further analysis of the more elaborate sense of space possessed by
adults, involving the play of equilibrium and the appreciation of movement
and direction in foreign objects, shows that cortical areas situated in
nearly every part of the hemispheres are subsidiary to it and connected by
fibre tracts of different lengths and courses. It is evident, therefore,
that the mal-connection of cortical centres is at the root of various
tropho-neurotic, nervous, mental, moral and other perversions exhibited in
degenerates. Deformity and deficiency of the corpus callosum in some
degenerates is but an expression of general defect of associating tracts.
Convolutional aberration in others is but an expression of imperfect
development of end stations and fibre systems. All mental and moral
disturbances are associated with perversions of the functions of the
cerebral hemisphere, but the converse, that cerebral hemisphere lesions
only are the essential accompaniments of mental symptoms evinced during
life, is not true. Lesions of the pons, the crura, and thalami are
accompanied by more or less complete obliteration of consciousness,
blurring of the perception, confusion in the intellectual sphere, even
where the lesion is not of such a character as to disturb the neighbouring
ganglia by pressure. Two explanations are possible of this phenomenon.
Either the vaso-motor centre for the cortical vessels is under the control
of isthmus ganglia partially, and hence isthmus lesions by irritation or
destruction of the centre excite or paralyse the vascular tubes of certain
cortical districts, or pathologic interruption of the great nerve tracts
involves functional disturbance of cortical end stations. The first
explanation is applicable in cases where general and widespread
disturbance, somnolence, excitement, or depression are found. The latter
where the disturbance is partial in character. If all avenues of sensory
perception be closed unconsciousness in the way of sleep speedily follows.
Interruption of the perception tracts is followed by corresponding
phenomena, though less extensive when occurring in the isthmus territory.
That an irritative lesion in the line of the centripetal tracts can
influence cortical life is shown by thalamus lesions in which
hallucinations are sometimes present. Here the cause of the hallucinations
is in the lower centre, but the entry of these into the intellectual
sphere can take place only in the cortical termination of that tract,
since at this point only through the connecting associating tracts can it
become a part of the ego.
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