Medical Essays, 1842-1882 eBook

This eBook from the Gutenberg Project consists of approximately 462 pages of information about Medical Essays, 1842-1882.

Medical Essays, 1842-1882 eBook

This eBook from the Gutenberg Project consists of approximately 462 pages of information about Medical Essays, 1842-1882.

Several most interesting points of the minute anatomy of the nervous centres have been laboriously and skilfully worked out by a recent graduate of this Medical School, in a monograph worthy to stand in line with those of Lockhart Clarke, Stilling, and Schroder van der Kolk.  I have had the privilege of examining and of showing some of you a number of Dr. Dean’s skilful preparations.  I have no space to give even an abstract of his conclusions.  I can only refer to his proof of the fact, that a single cell may send its processes into several different bundles of nerve-roots, and to his demonstration of the curved ascending and descending fibres from the posterior nerveroots, to reach what he has called the longitudinal columns of the cornea.  I must also mention Dr. Dean’s exquisite microscopic photographs from sections of the medulla oblongata, which appear to me to promise a new development, if not a new epoch, in anatomical art.

It having been settled that the nerve-tubes can very commonly be traced directly to the nerve-cells, the object of all the observers in this department of anatomy is to follow these tubes to their origin.  We have an infinite snarl of telegraph wires, and we may be reasonably sure, that, if we can follow them up, we shall find each of them ends in a battery somewhere.  One of the most interesting problems is to find the ganglionic origin of the great nerves of the medulla oblongata, and this is the end to which, by the aid of the most delicate sections, colored so as to bring out their details, mounted so as to be imperishable, magnified by the best instruments, and now self-recorded in the light of the truth-telling sunbeam, our fellow-student is making a steady progress in a labor which I think bids fair to rank with the most valuable contributions to histology that we have had from this side of the Atlantic.

It is interesting to see how old questions are incidentally settled in the course of these new investigations.  Thus, Mr. Clarke’s dissections, confirmed by preparations of Mr. Dean’s which I have myself examined, placed the fact of the decussation of the pyramids—­denied by Haller, by Morgagni, and even by Stilling—­beyond doubt.  So the spinal canal, the existence of which, at least in the adult, has been so often disputed, appears as a coarse and unequivocal anatomical fact in many of the preparations referred to.

While these studies of the structure of the cord have been going on, the ingenious and indefatigable Brown-Sequard has been investigating the functions of its different parts with equal diligence.  The microscopic anatomists had shown that the ganglionic corpuscles of the gray matter of the cord are connected with each other by their processes, as well as with the nerve-roots.  M. Brown-Sequard has proved by numerous experiments that the gray substance transmits sensitive impressions and muscular stimulation.  The oblique ascending and descending fibres from the posterior nerve-roots,

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Medical Essays, 1842-1882 from Project Gutenberg. Public domain.