It is one of many instances how science and practice work together,
that the modern study of these centres began not in experiment but in
experience. The first centres that were thus studied were the
speech-centres; and the observation of them arose out of the cases
recorded by Bouillard in 1825, and Dax in 1836. Clinical observation,
and _post-mortem_ examination, found the speech-centres; physiological
experiments had nothing to do with it; and phrenology had, as it
were, found them, and then lost them. But at once, so soon as practice
gave the word to science, physiology set to work. These clinical facts
had been there all the time; loss of speech had gone with disease or
injury of "Broca's convolution" ever since man had been on the earth,
and nobody had seen the significance of this sequence. Then, after
1861, everything was changed; and in a few years physiology had mapped
out a large part of the surface of the brain, and had charted the
motor-centres.
The story of Broca's convolution is told in Hamilton's _Text-Book of
Pathology_:--
"In 1825, Bouillard collected a series of cases to show that the
faculty of speech resided in the frontal lobes. In the year 1836
M. Dax, in a paper read to the Medical Congress of Montpellier,
stated as a result of his researches that, where speech was lost
from cerebral causes, he believed the lesion was invariably
found in the left cerebral hemisphere, and that the accompanying
paralysis of the right side of the body is consequent upon this.
This paper for long lay buried in the annals of medical
literature, but was unearthed years afterwards by his son, and
presented to the French Academy. Bouillard's views were also
disinterred by Aubertin, and in the year 1861 were brought by
him before the notice of the Anthropological Society of Paris.
Broca, who was present at the meeting, had a patient under his
care at the time who had been aphasic (without power of speech)
for twenty-one years, and who was in an almost moribund state.
The autopsy proved of great interest, as it was found that the
lesion was confined to the left side of the brain, and to what
we now call the third frontal convolution. Broca was struck with
the coincidence; and when a similar case came under his care
afterwards, unaware of what had been done by Dax, he postulated
the conclusion that the integrity of the third frontal
convolution, and perhaps also part of the second, is essential
to speech. In a subsequent series of fifteen typical cases
examined, it was found that the lesion had destroyed, among
other parts, the posterior part of the third frontal in
fourteen. In the fifteenth case the destruction had taken place
in the island of Reil and the temporal lobe."
Public-domain text, read in full here on John Shaqi.
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