Nervous and mental diseases . sations are also usually diminished, and all forms of cutaneousimpressions are delayed in reaching the brain. The muscle reflexes,especially the deep tendon reflexes, are abolished or greatly upward degeneration in the postero-internal column ensues. When the anterior horn is affected motor paralysis occurs, but onlyin the muscles which are supplied by the large cells actually involvedin the morbid focus. The mucles also atrophy. If the process isacute, paralysis takes place at once and atrophy gradually develops. Invery insidious lesions paresis and


Nervous and mental diseases . sations are also usually diminished, and all forms of cutaneousimpressions are delayed in reaching the brain. The muscle reflexes,especially the deep tendon reflexes, are abolished or greatly upward degeneration in the postero-internal column ensues. When the anterior horn is affected motor paralysis occurs, but onlyin the muscles which are supplied by the large cells actually involvedin the morbid focus. The mucles also atrophy. If the process isacute, paralysis takes place at once and atrophy gradually develops. Invery insidious lesions paresis and atrophy develop at an equal pace, andfibrillary twitchings are usually present. Reflexes are abolished bylesions of the anterior horns and vasomotor paralysis is induced in thefield related to the cornual disease. Degeneration descends the lowerneurons arising from the diseased portion of the cord, and the reactionof degeneration is presented in nerve and muscle. 1 Die Ruckenmarksnerven und ihre Segmentbeziige, Berlin, 73 0) a a s- o CO O 2O u 5 o o o« o a© >5 Elevation of of .jit-i Ion of constriction. Defecal ion disturbed. Retention of urine, later followed by possible, but paretic. [Testicle sensitive to pressure.] 35 a> Coccygeus. Levator urethra?. a cu .2 - «2 52 o CD CD bo>» OCJ oQ Sphincter urinse. Transversus urethra?. m SCD CD 343


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