mispronouncing, misplacing, and misusing his words in various degrees.
Sometimes his speech is a mere broth of unintelligible syllables. In
cases of pure motor aphasia the patient recognizes his mistakes and
suffers acutely from them. Now whenever a patient dies in such a
condition as this, and an examination of his brain is permitted, it is
found that the lowest frontal gyrus (see Fig. 44) is the seat of injury.
Broca first noticed this fact in 1861, and since then the gyrus has gone
by the name of Broca's convolution. The injury in right-handed people is
found on the left hemisphere, and in left-handed people on the right
hemisphere. Most people, in fact, are left-brained, that is, all their
delicate and specialized movements are handed over to the charge of the
left hemisphere. The ordinary right-handedness for such movements is
only a consequence of that fact, a consequence which shows outwardly on
account of that extensive crossing of the fibres from the left
hemisphere to the right half of the body only, which is shown in Fig.
41, below the letter M. But the left-brainedness might exist and _not_
show outwardly. This would happen wherever organs on _both_ sides of the
body could be governed by the left hemisphere; and just such a case
seems offered by the vocal organs, in that highly delicate and special
motor service which we call speech. Either hemisphere _can_ innervate
them bilaterally, just as either seems able to innervate bilaterally the
muscles of the trunk, ribs, and diaphragm. Of the special movements of
speech, however, it would appear (from these very facts of aphasia) that
the left hemisphere in most persons habitually takes exclusive charge.
With that hemisphere thrown out of gear, speech is undone; even though
the opposite hemisphere still be there for the performance of less
specialized acts, such as the various movements required in eating.
=The visual centre= is in the _occipital lobes_. This also is proved by
all the three kinds of possible evidence. It seems that the fibres from
the _left_ halves of _both_ retinæ go to the _left_ hemisphere, those
from the right half to the right hemisphere. The consequence is that
when the right occipital lobe, for example, is injured, 'hemianopsia'
results in both eyes, that is, both retinæ grow blind as to their right
halves, and the patient loses the leftward half of his field of view.
The diagram on p. 111 will make this matter clear (see Fig. 45).
Quite recently, both Schaefer and Munk, in studying the movements of the
eyeball produced by galvanizing the visual cortex in monkeys and dogs,
have found reason to plot out an analogous correspondence between the
upper and lower portions of the retinæ and certain parts of the visual
cortex. If both occipital lobes were destroyed, we should have double
hemiopia, or, in other words, total blindness. In human hemiopic
blindness there is insensibility to light on one half of the field of
view, but
[Illustration:
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