A treatise on the nervous diseases of children, for physicians and students . Fig 85. — Degeneration of theCauda Equina in MultipleSclerosis. (After Taylor. ) DISSEMINA TED SCL ER OSIS. 349 to find the disease in both parent and child. The cases ofPelizaeus, quoted approvingly by some authors, are not tomy mind typical cases of multiple sclerosis; they belongrather to the hereditary form of spastic paralysis. (Seepage 391.) Pathological Anatomy.—We can infer from the namethat the chief lesions in this disease are irregular scleroticpatches distributed throughout the greater part of the cen-tra
A treatise on the nervous diseases of children, for physicians and students . Fig 85. — Degeneration of theCauda Equina in MultipleSclerosis. (After Taylor. ) DISSEMINA TED SCL ER OSIS. 349 to find the disease in both parent and child. The cases ofPelizaeus, quoted approvingly by some authors, are not tomy mind typical cases of multiple sclerosis; they belongrather to the hereditary form of spastic paralysis. (Seepage 391.) Pathological Anatomy.—We can infer from the namethat the chief lesions in this disease are irregular scleroticpatches distributed throughout the greater part of the cen-tral nervous system. These patches sometimes occur in thebrain as well as in the spinal cord ; but there is no rule de-. FlG. 86.—Sections through the Pons, Medulla, and Spinal Cord, showing Sclerotic Patches. (Taylor.) termining their first appearance either in one or the other,and there is, therefore, as little reason for establishing aspinal form or a cerebral form on anatomical as there is onclinical grounds. The plaques have, however, a few fa-vorite sites ; the white matter of the brain, the pons andmedulla, the lateral columns in the dorsal and lumbarregions are those most favored ; but they also appear inthe cortex, in the posterior columns of the cord, in thecervical region, and even in the cauda equina. (Fig. 85.)Charcot was of the opinion that the foci of disease werevery rare in the cortex of the hemispheres or of the cere-bellum ; but Taylor, in a very careful paper on this subject,has shown that the patches may be in these parts as well asin others. The sclerotic changes may also affect the spinal 35Q THE XERVOUS DISEASES OF CHILDREN. roots and various cranial nerves. The optic chiasm is
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervous, bookyear1895
