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
Meynert traced an enormous division of the crus directly to the frontal
lobe and the lenticular nucleus, and showed that this portion through the
transverse fibres of the pons was of necessity connected with the
cerebellum, and that far other functions are to be located in the cortex
than merely muscular innervation, visual and auditory perceptions. The
restiform columns derived from spinal fibres enter the cerebellum and
terminate chiefly in its hemispheres. The cortex of these hemispheres is
connected by radiatory fibres, with the dentated nucleus, which is a
recipient of fibres of the auditory nerve. The cortex of the cerebellar
hemisphere receives fibres both from the sensorial periphery of the body
and the semicircular canals. From this reception area the transverse
fibres of the pons originate and enter the crus. It is these which enter
the frontal lobe and lenticular nucleus. In no respect does man so much
differ from the ape as in the quantitative development of these
fasciculi. Their development is intimately associated with the mass of the
frontal lobe, and there is every reason for considering them the channel
of information of the equilibrium and possibly of the senses of space and
time, on which the scope of the mind is so closely dependent. Lesions in
these tracts may disturb these sensations, and the entire mental
architecture may totter with the withdrawal or weakening of so important
pillars. The congenital asymmetry of the peduncular tracts observed in
certain cases of mental and moral perversion are not without bearing on
the symptoms of those cases. And this explanation would be adjunct to the
principle of mal-development of the associating tracts here advanced in
explanation of other symptoms of these same states. It is a logical truism
that complex cerebral functions have a complex substratum. Nothing could
be more unphilosophical, for example, than to speak of "intellectual
cells" (Denkzellen) in the cerebral cortex. Simple elements can have but
simple functions; complex functions require a union of numerous simpler
elements in a complex structural combination.
Such symptoms as epileptic explosions are admittedly connected with no
demonstrable anatomical aberration, and yet when epileptic explosions of a
certain type are found associated with a cortical lesion they are to be
regarded as symptoms of that lesion. Morbid projects, delusions, and moral
perversion are simply functional perversions of a properly built cerebral
mechanism or the outcome of a visible structural defect. And when the
latter is palpably attributable to an error in development and occurs
with a certain constancy in similar cases, a fundamental relation must be
assumed between the defect and the general tenor of the symptoms.
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