The pathologic lesions of the cord easily recognized by the naked-eye
are areas of sclerosis or gray degeneration, yellow degeneration,
hemorrhage, anæmia, œdema, congestion, tabes dorsalis, amyotrophic
lateral sclerosis, acute poliomyelitis, syringomyelia, ascending
and descending degenerations, glioma, gumma, tubercle, certain
malformations, neoplasms and parasites. Other important pathologic
conditions are: Malformations (myelocele, hydrorrhachis interna,
diastematomyelia, etc.), atrophy, myelitis, sclerosis, effects
of trauma, syphilis and intoxications, infections, tuberculosis,
etc. Primary tumors are: Glioma, gliosarcoma, gliomyxoma, sarcoma
(spindle-cell, myxo-, angiosarcoma, etc.), neuroepithelioma,
neuroma, diffuse gliosis, etc. All are rare with the exception of
the gliomata. Metastatic carcinoma and sarcoma are relatively rare.
Cysticercus and echinococcus are rare.
The thickness, color, consistence and translucence of the spinal
ganglia should be noted. Atrophic nerves are smaller, more gray and
more translucent.
6. =Inner Surface of Vertebrae.= The remains of the epidural tissue
and the inner surface of the spinal canal should also be carefully
examined, noting the consistence of the vertebræ, the character of
the ligaments, fascia, periosteum, etc. The anterior wall of the
canal should be smooth, the color of the vertebræ grayish-red, that
of the intervertebral disks grayish-white. Caries, tuberculosis and
syphilis lead to roughening of the bony wall of the canal.
CHAPTER VI.
THE EXAMINATION OF THE HEAD.
I. METHODS OF EXAMINATION.
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