Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
[Illustration: FIG. 28.--Different views of a portion of the spinal
cord from the cervical region, with the roots of the nerves. In _A_ the
anterior surface of the specimen is shown, the anterior nerve root of
its right side being divided; in _B_ a view of the right side is given;
in _C_ the upper surface is shown; in _D_ the nerve roots and ganglion
are shown from below: 1, the anterior median fissure; 2, posterior
median fissure; 3, anterior lateral depression, over which the anterior
nerve roots are seen to spread; 4, posterior lateral groove, into
which the posterior roots are seen to sink; 5, anterior roots passing
the ganglion; 5´, in _A_, the anterior root divided; 6, the posterior
roots, the fibers of which pass into the ganglion, 6; 7, the united or
compound nerve; 7´, the posterior primary branch seen in _A_ and _D_
to be derived in part from the anterior and in part from the posterior
root. (Allen Thomson.)]
If a cross-section of the cord is made, it is found to have a pretty
definite structure. It is roughly circular and is divided by certain
fissures, of which the most important are the anterior and posterior
median, the latter being rather a dividing line or septum. By them
it is divided into halves connected by a small band in the middle
called the _commissure_. The white matter is exterior to the gray
and is divided by it into four columns, which again are divided into
tracts according to certain groups of nerves that travel through
them. The most important tract is the direct pyramidal tract in the
anterior column. The gray matter is arranged in the form of a letter H
practically, consisting of two lateral halves, more or less crescentic
in outline, connected by a narrow band, the _gray commissure_. Each
half is divided into two _horns_, the anterior, toward the front of the
cord, and the posterior, toward the back, the former being generally
much thicker and heavier than the latter. The structure of the gray
and of the white matter is essentially the same as in the brain,
but the proportion varies in different parts of the cord, the white
predominating in the cervical region and the gray being much better
developed in the lumbar region, where the nerve cells for control of
the lower extremities occur. The gray is least well developed in the
dorsal region. Through the center of the cord runs a small hole or
canal filled with cerebro-spinal fluid, the _central canal of the cord_.
[Illustration: FIG. 29.--Functional areas of the cerebral cortex, left
hemisphere. (A. A. Stevens.)]
The brain is the seat of intelligence and will, the center of all
voluntary action. Molecular change in some part of the cerebral
substance is the indispensable accompaniment of every phenomenon of
consciousness. Indeed, the brain is never in a state of complete
repose, there being dreams even during sleep. The brain is not
sensitive to injury in the sense of pain. It can be lacerated without
much pain.
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