the outer border of the corpus striatum is severed from the stem
as far as the anterior end of the upper border of the island,
which bends downward into the anterior border. The peduncle of
the fornix with the pedicle of the septum and the lamina of the
knee of the corpus callosum are severed close above the anterior
commissure, and the knife following the anterior border of the
island is carried downward from the head of the corpus striatum.
The remaining connections between the frontal lobes and stem are
put on a moderate stretch and the incision is completed by bringing
the knife back into the first cut made from the opposite direction
parallel with the orbital surface over the upper surface of the
stem. The three arms of the cerebellum are then severed and the
brain-stem, consisting of the island of Reil, the basal ganglia,
crura, pons, medulla and cerebellum, is completely freed and lifted
out of the mantle.
A combination of the Meynert and Virchow methods is used by many.
The lateral ventricles are opened and an incision made along
the fornix into the descending horn. The stem-ganglia are then
cut out and brain-mantle and stem separated. The hemispheres
are then cut by frontal sections made from the anterior end as
far as the central convolutions. From the central convolutions
backward horizontal sections are then made; the series of sections
are numbered in order and fixed and hardened for microscopic
examination.
It is evident that the section of the brain can be modified to meet
the individual requirements, according to the nature, location and
extent of the lesion and the character of the study to be made of
the latter. The brain may be fixed and hardened either before or
after sectioning.
[Illustration: FIG. 31.—Base of cranium, after removal of brain.
(After Nauwerck.)]
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