Organic and functional nervous diseases; a text-book of neurology . The situation of the lesion in combined sclerosis of vascular origin. Fig. 165, cervical; Fig. 166middle dorsal; Fig. 167, lower dorsal; Fig. 168, lumbar ; Fig. 169, sacral regions. In the lumbar andsacral region the lesion is one of descending degeneration only. (Ballet et Minor.) tions presented by different authors of these lesions are largely due tothe omission of any reference to the duration of the disease in the dif-ferent cases, Putnam being the only observer to distinguish betweensymptoms of long and of short standing


Organic and functional nervous diseases; a text-book of neurology . The situation of the lesion in combined sclerosis of vascular origin. Fig. 165, cervical; Fig. 166middle dorsal; Fig. 167, lower dorsal; Fig. 168, lumbar ; Fig. 169, sacral regions. In the lumbar andsacral region the lesion is one of descending degeneration only. (Ballet et Minor.) tions presented by different authors of these lesions are largely due tothe omission of any reference to the duration of the disease in the dif-ferent cases, Putnam being the only observer to distinguish betweensymptoms of long and of short standing in the same case. In addition to the sclerosis of the cord the majority of observers havenoticed a thickening of the pia mater, especially upon the posterior andlateral surfaces, with adhesion to the cord. Some have seen a state ofarterio-capillary fibrosis or a true endarteritis in the spinal anterior nerve roots have been found atrophied. The combination of secondary degeneration of the motor and sensorytracts sometimes found in advanced cases of g


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