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
Facts are wanting with regard to these lesions in the domestic animals,
but anatomical, physiological and pathological consideration are
strongly suggestive of their occurrence. The vascular network of the
spinal cord favors a tardy circulation, and this in turn is favorable to
the arrest of solid bodies and the delay, proliferation and colonization
of microbes. The median spinal artery receives a supply of blood by two
trunks, right and left, entering by the intervertebral foramina at each
intervertebral articulation. It has not, therefore, one continuous,
equable, onward flow, but rather numerous independent currents
corresponding to the entering vessels, and with intervening eddies or
areas of comparative stagnation. The nervous material of the cord admits
no large arteries but only capillary trunks which anastomose freely in
its substance. This would seem to entail a sluggish flow, which would
favor microbian arrest and colonization, even if the small size of the
vessels serves to shut out clots of any material size. Finally the
abundant venous plexus, and especially the two lateral venous sinuses,
communicating freely with each other and, through each intervertebral
foramen, with the extra spinal veins determine a similar tardy flow that
should be favorable to morbid processes. If we pass back of these
vessels, we find the posterior aorta to be at once the largest and the
most direct channel for the entrance of emboli coming from the left
heart or lungs. This danger is counteracted in greater part by the fact
that the greater part of this blood passes into the large vessels which
supply the liver, spleen, kidneys, stomach, bowels, and hind limbs, and
while embolism is well known in these parts it has not been demonstrated
as yet in the spinal cord. The toxins produced in infectious diseases
and circulated in the blood can often lead to destruction of the
endothelium, and inflammation of the deeper structures. In this way any
circulating microbes find a ready infection atrium. Hektoen seems to
have demonstrated this in the case of tubercular meningitis. By pressure
of the neoplasm on the vessel or by fibroid thickening and contraction
of the walls of the vessel, the subsidiary cord is denied its full
supply, and degeneration of the nervous substance is invited. In the
human subject degeneration of the cord has been shown to follow the line
of such diseased arteries. Thrombosis follows in every case in which the
serous coat is involved, and embolism can easily occur from clots small
enough to enter the capillary vessels. Lamy’s experiment of blocking the
small arteries with inert powder, shows that this will give rise to foci
of hemorrhagic softening, which commence in the gray substance. The
blocking, however, must be multiple to produce any material effect, as
the free anastomosis of the spinal capillaries otherwise secures an
abundant blood supply to adjacent parts. In case of an infective
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