. International record of medicine . ronthalsums up his ideas about the proneness of such cords to dis-ease as follows: It can now be attirraed, considering thelast case on record [his own], that we must speak moredefinitely than formerly and declare that a spinal cord with heterotopia of the gray matter has a diminished resistanceto disease. I have not thought it necessary in the preceding sec-tions to picture or describe the artificial or secondary de-formities associated with myelitis. They occur very fre-quently, their significance is probably generally understood,and it must be generally
. International record of medicine . ronthalsums up his ideas about the proneness of such cords to dis-ease as follows: It can now be attirraed, considering thelast case on record [his own], that we must speak moredefinitely than formerly and declare that a spinal cord with heterotopia of the gray matter has a diminished resistanceto disease. I have not thought it necessary in the preceding sec-tions to picture or describe the artificial or secondary de-formities associated with myelitis. They occur very fre-quently, their significance is probably generally understood,and it must be generally known that acute myelitis regularlydestroys and disfigures the cord substances and generallysoftens the cord, so that it is hard to remove or handle itwithout disturbing the topographical relations of the cordmatters still more. One case, however, may be instanced here in connectionwith Kronthals case, which shows how a bruise is liable toproduce more extensive deformities in a softened cord ofmyelitis than in a normal or firm lUhal^ first coi-e. Deformities of the cord due partly to acutemyelitis and partly to bruising. This cord* came from a man who died in two weekswith an acute idiopathic myelitis, involving the whole dor-sal region. The autopsy was made in very hot weather,and the carefully removed softened cord (which was not in-cised anywhere) was laid on some finely chopped ice in apail and carried across the city to the laboratory. Duringits transit the cord had settled down among the ice frag-ments, and the jolting of the latter had contused it, as thesubsequent microscopical examination showed, in a mostremarkable way, although grossly the cord showed noth-ing very unusual in its contours. Several of the sectionsfrom this cord indicate just as grotesquely the mechanicalorigin of the deformities as sections 1, 3, 14, and 15 inKronthals first case, Fig. 1. The white matter in thewriters case of myelitis was so much destroyed by the dis-ease that the usual appear
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
