Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
_Lesions._ Thirteen months after the commencement of the attack this
horse was destroyed and the cord was found to be profoundly altered by
fibroid degeneration of the neuroglia and absorption of the nerve
elements (cells and fibres), the lesions affecting different portions of
the gray horns, and the columns—superior, lateral and inferior. The
affected portion of the cord usually shows in man a grayish, opaque or
translucent appearance, with in some cases a shrunken aspect and undue
firmness of texture, with at points, centres of softening. If hardened,
the sclerosed sections take the carmine stain deeply, but the osmic acid
or hæmatoxylin stain very slightly, contrary to what holds in health. In
recent cases there is only slight thickening of the neuroglia, but when
the disease is advanced the trabeculæ are thick, dense, and firm, and
the nerve fibres have largely disappeared. The coats of the blood
vessels adjacent to the sclerosis are thickened and their lumen is
narrowed. Thickening of the meninges is not uncommon, either confined to
those covering the diseased portion of the cord or extending completely
around it. Atrophy of the nerve roots is often appreciable by the naked
eye.
_Diagnosis._ This depends largely on the fact that the condition follows
an acute attack of myelitis, on the supervention of muscular weakness
and lack of muscular control, whenever the animal is exercised to
fatigue, the morbid symptoms subsiding promptly when he is allowed to
rest, the aggravation of these symptoms when the patient is blindfolded
and a gradual though slow advance of the symptoms with the lapse of
time. From arteritis and embolism it is to be distinguished by the
absence of the local symptoms of pain and tenderness, and by the absence
of pulsation in the same artery distal of the obstruction and of
improvement by the lapse of time or a run at grass.
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