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
_Prognosis._ Under rational treatment about one-fourth recover. One-half
of the victims make a partial recovery but remain in a condition of
dementia or hebetude, blindness, deafness, local or general paralysis
which renders them more or less useless. Not more than one-fifth or at
most one-fourth of all cases recover. Even in these there is left an
increased predisposition to recurrence. It is noted by Trasbot that the
mortality is higher in highbred, nervous, irritable animals, which show
a tendency to greater frequency, force and duration of the paroxysms of
excitement. When decubitus is constant, death may take place from septic
poisoning starting from bed sores, and gangrenous sloughing. In other
cases there is fatal starvation from inability to eat.
_Lesions._ In =pachymeningitis= due to mechanical injury there is
usually cutaneous and subcutaneous, blood extravasation, and there may
be fracture of the cranial bones. The dura mater is dark red, hyperæmic,
thickened, covered with exudation and small blood clots mixed with pus
cells, and has contracted strong adhesions to the cranial bone. Bony
spicula may project into the fibrous neoplasm.
=Leptomeningitis= usually coexists from extension of the inflammation
into the adjacent arachnoid and pia mater. There is then a reddish
serous effusion into the arachnoid and beneath it, and the substance of
both membranes is thickened by exudate, and discolored by congestion and
minute hæmorrhages. Whenever the pia mater is thus inflamed, the
superficial layer of the brain is implicated, œdematous, soft and
doughy. The extension is also made into the ventricles and a serous
effusion takes place often to two, three or more times the normal amount
(82 grammes Schütz). The choroid plexus forms a yellowish gelatinoid
mass, and the ganglia (corpora striata, optic thalamus, etc.), are
flattened.
In =encephalitis= the affected superficial gray matter of the ganglia or
convolutions, is deepened in color, usually in limited areas
corresponding to the disease of the meninges. Sometimes the color
becomes of a distinctly reddish tinge, and when cut into shows unusually
prominent red points where the capillaries have been cut. Somewhat
larger areas of blood staining indicate hæmorrhagic extravasations. The
nervous substance is more or less infiltrated with liquid and softened.
The nerve cells are swollen, and in process of granular degeneration and
the same is true of the myelin, while the axis cylinder is uneven in its
outline. Apart from the numerous minute petechial hæmorrhages there is
an abundant migration of leucocytes which are found scattered in the
degenerating and softened nervous tissues.
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