. Medical diagnosis for the student and practitioner. ?^: M.:* v •* s; «_d. 1 m Fig. 523.— (8) Spinal cord showing degeneration of nerve cells and invasion of leucocytes(neurophagocytosisj. X 144- (9) Perivascular and interstitial mononuclear cell infiltra-tion of medulla. (Flexner and Xoguchi, Journal of Experimental Medicine, Vol. XVIII,IQT3-) IO92 MEDICAL DIAGNOSIS Round-cell infiltration of the pia-arachnoid is present and chiefly markedon the anterior surface of the cervical, sacral, and lumbar foci of infiltration and edema are evident in the white substanceof the


. Medical diagnosis for the student and practitioner. ?^: M.:* v •* s; «_d. 1 m Fig. 523.— (8) Spinal cord showing degeneration of nerve cells and invasion of leucocytes(neurophagocytosisj. X 144- (9) Perivascular and interstitial mononuclear cell infiltra-tion of medulla. (Flexner and Xoguchi, Journal of Experimental Medicine, Vol. XVIII,IQT3-) IO92 MEDICAL DIAGNOSIS Round-cell infiltration of the pia-arachnoid is present and chiefly markedon the anterior surface of the cervical, sacral, and lumbar foci of infiltration and edema are evident in the white substanceof the cord which accounts for the fleeting nature of some of the symptomsobserved. In extreme or fatal cases, like changes are found in the pons, medulla,centrum ovale and cortex but the ganglion cells seldom or never undergosuch destruction as is a constant finding in the cord segments chieflyaffected. This disease, like epidemic cerebrospinal meningitis, is a general infectionI showing a peculiar elective affinity for the brain and cord and exerting itspathogenic effects p


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922