It must be borne in mind that the symptoms as about to be detailed are
successive only to some extent in the order presented. They commence
generally at the lower part of the spinal cord, but immediately
afterwards, if not simultaneously, are ushered in with great rapidity
from other centres, masking each other and rendering it extremely
difficult to observe and analyse them separately. They are also very
variable through the poison concentrating its action on special centres,
leaving others comparatively intact, and this not only when from
different varieties of snakes, but also from snakes of the same variety.
Another element increasing the difficulties of correct analysis are the
depressing effects of fear, inseparable in all but the strongest minds
from the consciousness of having been bitten, and so similar in
appearance to those of snake-poison, that sometimes it is by no means
easy to decide which of the two is in operation, and that only those
cases are of real value to the observer from which this element of fear
is completely excluded.
A.--Action on the Anterior Cornua of the Spinal Cord.
The anterior cornua are almost invariably the first of the motor-centres
attacked by the snake-poison, the affection (commencing with paresis and
in serious cases generally culminating in paralysis) beginning in the
lumbar ganglia and taking an upward course. The lower extremities feel
unnaturally heavy and a paretic condition of the muscles supervenes
_simultaneously on both sides_. The walk becomes unsteady and
staggering, very similar to that of persons under the influence of large
doses of alcohol. By a powerful effort of the will, however, persons in
this condition are often able to walk and even run for some distance,
especially if by prompt ligature the absorption of the poison has been
checked. As the affection proceeds, though still able to move the legs
in a sitting posture, they are unable to rise again. Ere long even
sitting up becomes impossible and they collapse helplessly. At this
stage sensation is still intact, and reflex action, by pricking the
skin, &c., still takes place. The upper extremities generally retain the
power of voluntary motion, even after the muscles of the neck have
become paretic and the head is held up with difficulty or sinks to one
side.
With birds, according to Feoktistow, the reverse is the case. The wings
are usually first attacked, or paresis comes on in wings and legs at the
same time.
B.--Action on the Medulla Oblongata.
a.--The Vaso-Motor Centre.
Public-domain text, read in full here on John Shaqi.
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