Nervous and mental diseases . Fig. 139.—1, Section of cervical cord in an old case of infantile paralysis. The right half is shrunkenin all its extent (Charcot). 2, Lumbar section in a case of infantile palsy: a, Focus of old inflamma-tion ; left half of cord shrunken. it is vascular. A contention has arisen as to whether the lesion is firstparenchymatous, as Charcot claimed, or is first interstitial, as insistedupon by Goldscheider, Redlich, and others. The present weight ofauthority points to invasion by the blood-vessels, interstitial dissemina-tion, and cellular destruction as the natural
Nervous and mental diseases . Fig. 139.—1, Section of cervical cord in an old case of infantile paralysis. The right half is shrunkenin all its extent (Charcot). 2, Lumbar section in a case of infantile palsy: a, Focus of old inflamma-tion ; left half of cord shrunken. it is vascular. A contention has arisen as to whether the lesion is firstparenchymatous, as Charcot claimed, or is first interstitial, as insistedupon by Goldscheider, Redlich, and others. The present weight ofauthority points to invasion by the blood-vessels, interstitial dissemina-tion, and cellular destruction as the natural order of events. Batten 1asserts upon rather convincing evidence that the vascular fault is pri-marily thrombotic due to a variety of infections, and the lumbar cordis especially affected owing to the circulatory disadvantages of the Brain, Autumn, 1904. 380 DISEASES OF THE COED PROPER. The myelitic foci vary in extent and number in various cases. Some-times they extend through several segments of the cord, eight or
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