. International record of medicine . ters in mistaking an autopsy bruisefor a congenital malformation. Congenital malformationsof both the cord and brain are described. The alleged cord deformity was of the heterotopic orderand also consisted in a doubling of the cord, but I have nohesitation in pronouncing the deformities to be due to anautopsy bruise—a bruise which, in addition to the pro-duction of the ordinary minor displacements and asym-metries of the cord substances, was violent enough, atone place, to telescope one portion of the cord down over Oct. , 18!I2. VAX GIESOX: THE ARTIFACT
. International record of medicine . ters in mistaking an autopsy bruisefor a congenital malformation. Congenital malformationsof both the cord and brain are described. The alleged cord deformity was of the heterotopic orderand also consisted in a doubling of the cord, but I have nohesitation in pronouncing the deformities to be due to anautopsy bruise—a bruise which, in addition to the pro-duction of the ordinary minor displacements and asym-metries of the cord substances, was violent enough, atone place, to telescope one portion of the cord down over Oct. , 18!I2. VAX GIESOX: THE ARTIFACTS OF THE NERVOUS SYSTEM. 423 another so as to form doubling of the cord over a limitedspace. The cerebral changes consisted in an atrophy of theleft frontal lobe, where there was a sac of fluid distendingthe pia mater, and a widening of the lips of the Sylvianfossa, all of which the writers are inclined to consider acongenital malformation — apparently considerably influ-enced in this conclusion by the existence of the cord mal-. Flii. 2.—Fiirstner and Zachors case. ■ Artilici 1 dnplicatio:. of the cord. formation. These cerebral changes do not positively indi-cate a congenital origin; they might have been well enoughthe effects of disease of the Sylvian vessels, which elementthe writers do not at all eliminate, nowhere mentioning thecondition of these vessels. But they think that the twosets of deformities of the brain and cord were more or lessnaturally associated with each other in indicating someweakness of development of tlie whole central nervoussystem. The introduction of the paper is taken up with a gen-eral discussion of the induction of the neuropathic disposi-tion by such deformities of the cord, and presents the view that the case itself is a specitic example of how the weakanatomical constitution of the nervous system made it proneto disease (there were dementia paralytica and myelitis).An outline of the clinical history is given here to showthat there were
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
