. Diseases of the nervous system : for the general practitioner and student. gress in mental development was unquestionably arrested. Treatment.—The most essential principle of treatment is absolute CONCUSSION OF THE BRAIN 211 rest in bed which must be instituted as early as possible after the should be carried out not only in the severe cases, but also in thecases of the mildest nature. The various manifestations should be treatedsymptomatically. Sedatives, purgatives, light diet and particularlyavoidance of stimulation, of excitement, of noise—is all that is


. Diseases of the nervous system : for the general practitioner and student. gress in mental development was unquestionably arrested. Treatment.—The most essential principle of treatment is absolute CONCUSSION OF THE BRAIN 211 rest in bed which must be instituted as early as possible after the should be carried out not only in the severe cases, but also in thecases of the mildest nature. The various manifestations should be treatedsymptomatically. Sedatives, purgatives, light diet and particularlyavoidance of stimulation, of excitement, of noise—is all that is to bed must be as long as possible. It is reiterated here,that neglect of recognizing the importance of earliest treatment mayrender the patients permanent invalids. CHAPTER XVIIDISEASES OF THE CEREBELLUM The cerebellum contains two important portions: cortex and centralgray nuclei. In the cortex we distinguish: hemispheres and two parts are physiologically independent of each other. Thehemispheres are in connection with the cortex of the brain and basal. Fig. 78.—Cerebellar Tumor Involving Left Hemisphere and Vermis. (Original.) ganglia. The vermis—with pons, medulla and spinal cord. The hemi-spheres are concerned in voluntary movements, the vermis is concernedin coordination through the vestibular nerve with the nucleus of whichit is in intimate connection. DISEASES OF THE CEREBELLUM 213 The function of the cerebellum is to control the equilibrium and regu-late movements. When the cerebellum is removed, motion andequilibrium are not entirely abolished because of supplementary actionof the brain and of the labyrinth. Unlike the cerebrum, the cerebellum has its influence on the musclesof the same side of the body. Lesions of the cerebellum may have a slow and progressive course,such as tumors, and an acute onset, such as hemorrhage or softening. Tumors.—Among the tumors of the nervous system those of thecerebellum are the most frequent, and as to their n


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectnervous, bookyear1913