. A treatise on nervous and mental diseases, for students and practitioners of medicine. Photo-micrograph of a section of the showing secondary degeneration of the columnsof Goll after myelitis. Magnified 10 diameters. micrograph of almost the same portion of the cord. This latterfigure represents, as only a photograph can do, the appearance undera low magnifying power. In Fig. 119, which is a photo-micrograph below the initial focusof myelitis, is seen beautifully marked a descending degeneration,mainly of the lateral pyramidal (columns, although, as will bo 204 NERVOUS DISEASES. observed, it


. A treatise on nervous and mental diseases, for students and practitioners of medicine. Photo-micrograph of a section of the showing secondary degeneration of the columnsof Goll after myelitis. Magnified 10 diameters. micrograph of almost the same portion of the cord. This latterfigure represents, as only a photograph can do, the appearance undera low magnifying power. In Fig. 119, which is a photo-micrograph below the initial focusof myelitis, is seen beautifully marked a descending degeneration,mainly of the lateral pyramidal (columns, although, as will bo 204 NERVOUS DISEASES. observed, it extends into the lateral fundamental columns. At theright side of this figure it can be observed how the direct cerebellarcolumn has been spared, which does not show as well upon the leftside owing to the imperfection of the section. All these figuresshould be compared with Fig. 37, which shows the normal columnsof the cord. Fig. Photo-micrograph of a sectiou of the covd tihuwiug secondary degeneration of thelateral pyramidal column after myelitis. Magnified 10 diameters. Prognosis. Cases of very acute myelitis are usually fatal, whilstthe subacute and chronic forms will depend largely as to their out-come upon the circumstances of the patient and the treatment. Inevery one of the two latter classes the individual case itself shouldbe a study, and the prognosis should be based upon a number offactors, such as— Age; _ The severity and acuteness of the onset; The progress of the malady, especially in an upwarddirection; The localization of the disease in the cord ; The presence or absence of bed-sores ; Sphincter paralysis and cystitis; The general health ; The causation ; The habits and race of the individual; The mental cases of myelitis generally occur between ten and thirtyyears of age, still they may occur at an early age or at an advancedone, and in the latter case this would exert a very un


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