General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
All the lesions of this principal nerve are felt by the muscles that
it has under its influence; the compressions that it experiences from
a fracture of the vertebræ, from any displacement, from an effusion
of blood, serum, pus, &c. in the vertebral canal, the derangements
which take place from a violent blow received upon the whole region
of the spine, from a fall upon the loins, or on the superior part of
the sacrum, are followed by numbness and paralysis of the subjacent
muscles. Divide the spinal marrow, by introducing a scalpel into the
canal, immediately all motion ceases below the division. If you wish on
the contrary to produce convulsions, introduce a stilet into the canal;
irritate the marrow with it or by chemical agents placed on it, there
will be immediately agitation and convulsion in all the animal and
muscular system that is below.
The higher the lesion of the marrow is, the more dangerous is it.
In the lumbar region its influence extends only to the inferior
extremities, and the muscles of the pelvis; in the back it paralyzes
these muscles and those of the abdomen; now as these last contribute
indirectly to respiration, this function begins to be embarrassed; if
the lesion is above the dorsal region, it becomes still more painful,
because the intercostals lose their action; the diaphragm alone then
supports the respiratory phenomena, because the phrenic nerve still
receives and transmits the cerebral influence. But when the lesion
happens above the origin of this nerve, there is no more action of the
diaphragm, and no more contraction of the intercostal and abdominal
muscles; respiration ceases; from the same cause the circulation is
interrupted; the blood being no longer carried to the brain, the action
of this organ is annihilated. Hence why the luxations of the first
vertebra on the second are suddenly fatal, when the displacement is
very great; why judicious surgeons dare not sometimes run the hazard
of reduction, when these luxations are partial, for fear of rendering
them complete, and of thus seeing the patient, whom they attempted to
relieve, perish in their hands; why, when we wish to knock down an
animal, the blow should be given on the superior and posterior part
of the spine; and why a stilet plunged between the first and second
vertebræ immediately destroys life.
We see very distinctly the successive influence of the different parts
of the marrow on the muscles and on the general life, by introducing a
long piece of iron into the inferior part of the vertebral canal of an
animal, of a guinea pig for example, and carrying it up through this
canal to the cranium, through the spinal marrow which it tears. We
observe evidently as it ascends, at first convulsions of the inferior
extremities, then those of the abdominal muscles, then derangement of
respiration, then its cessation, then death which is the consequence of
it.
Public-domain text, read in full here on John Shaqi.
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