The Practitioner . Fig. 8. Paralysis of R. cervical sympaihetic Fig. g. Stimulation of R. cervical sympa-frorn bullet-wound of lower roots of brachial thetic from enlarged glands at root of neck,plexus. AFFECTIONS OF THE CERVICAL SYMPATHETIC, igi pupil-dilating centre in the medulla, they run down in thelateral columns of the spinal cord to the cilio-spinal centrein the lower cervical region. They emerge through the anteriornerve-roots of the first and second dorsal segments and enterthe inferior cervical ganglion of the cervical sympathetic bywhite rami commimicantes at that level. They then


The Practitioner . Fig. 8. Paralysis of R. cervical sympaihetic Fig. g. Stimulation of R. cervical sympa-frorn bullet-wound of lower roots of brachial thetic from enlarged glands at root of neck,plexus. AFFECTIONS OF THE CERVICAL SYMPATHETIC, igi pupil-dilating centre in the medulla, they run down in thelateral columns of the spinal cord to the cilio-spinal centrein the lower cervical region. They emerge through the anteriornerve-roots of the first and second dorsal segments and enterthe inferior cervical ganglion of the cervical sympathetic bywhite rami commimicantes at that level. They then runupwards in the cervical sympathetic to the orbit. Thereforeocular and other symptoms maj^ be produced not only bylesions of the ascending fibres of the cervical sympathetic, butalso by lesions within the cord, affecting the fibres in theirdownward course from the medulla (this being remarkablyfrequent in syringomyelia) or b) lesions of the first two dorsalnerves or their anterior roots. The cervical sympathetic


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Keywords: ., bookcentury1800, bookde, bookpublisherlondon, booksubjectmedicine