Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
Enough has been said to shew that the brain is not _immediately_
necessary to the action of the heart; but _Mr. Brodie_ has very justly
observed that the general proposition thus established, must not lead us
to the conclusion that the heart is therefore incapable of being
affected by violent impressions on the nervous system; the fact is quite
otherwise, for although the brain may be removed, and the circulation be
nevertheless maintained by artificial respiration, yet an injury
inflicted on the brain, of another kind, may be followed by those
immediately fatal consequences which decapitation itself would not
produce. _Dr. Wilson Philip_ states that if the brain be violently
crushed, the action of the heart is immediately stopped; and the fact is
too notorious to be questioned, that a blow on the head is frequently
succeeded by Syncope; there are but few circumstances, says _Mr.
Brodie_, in the history of the animal œconomy which appears more
remarkable than this fact, that _an injury of a part which is not
immediately essential to the heart’s action, should nevertheless, under
certain circumstances, have the effect of occasioning its immediate
cessation_. The late researches of _Le Gallois_ may perhaps receive
farther elucidation from the above proposition; this physiologist has
stated that if a wire be introduced into the _Theca vertebralis_, and be
moved upward and downward, so as to destroy the texture of the spinal
marrow, the action of the heart presently ceases; and he from thence
advances to the conclusion, not only that the spinal marrow is necessary
to the heart’s action, but that every part of the animal body derives
its vital properties from it; from what I have observed, says _Mr.
Brodie_ (_Manuscript Notes_) in the repetition of the foregoing
experiment, I should infer that the fact is correctly stated, as far as
it relates to warm-blooded animals, but the conclusions are undoubtedly
premature; and the history of the fœtus, as related by _Lallemand_, in
which, notwithstanding the absence of the brain and spinal marrow, the
child was even larger than usual, the heart perfect, and it was manifest
that the circution had been duly performed, is in direct opposition to
such a theory. We must here agree with _Mr. Brodie_, that such phenomena
are quite incompatible with the doctrine in which the spinal marrow is
supposed to be directly necessary to the existence of vitality in the
system generally, and to the action of the heart in particular; and that
we must therefore look for some other explanation of the effects which
are produced by the destruction of the spinal marrow in warm-blooded
quadrupeds.—May they not be explained by supposing them to be the effect
of the shock which must necessarily attend the removal of the spinal
marrow, which can never be effected with the facility that attends
decapitation?
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