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Injuries of nerves and their consequences - Reflex Sympathetic ...

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VARIETIES OF MECHANICAL INJURIES OF NERVES. 113<br />

somewhat, so as to place the nerve between two caoutchouc<br />

bags <strong>of</strong> mercury, gave, on the whole, the same<br />

general result. For the sciatic nerve a few seconds — ten<br />

to thirty<br />

— <strong>of</strong> the pressure <strong>of</strong> a mercury column, eighteen<br />

to twenty inches high, broke the communications between<br />

two portions <strong>of</strong> a nerve. Relieved from pressure, the<br />

nerve speedily recovered.<br />

It seems impossible to look upon this as other than a<br />

mere mechanical disturbance <strong>of</strong> the tubal contents, <strong>and</strong> a<br />

like mechanical restoration <strong>of</strong> <strong>their</strong> needed conditions for<br />

activity.<br />

It is needless to speculate here upon the very suggestive<br />

character <strong>of</strong> these observations in a physiological point<br />

<strong>of</strong> view. Pathologically considered, they are not less<br />

interesting.<br />

Remembering the delicate nature <strong>of</strong> the neural tissues, it<br />

seems inconceivable that twenty inches <strong>of</strong> mercury should<br />

not destroy them utterly. Moreover, what is the change<br />

which really takes place, <strong>and</strong> does it seem possible that<br />

the axis cylinders could be so broken as to refuse <strong>their</strong><br />

<strong>of</strong>fice, <strong>and</strong> yet so reunite in a few seconds as to be fit<br />

again<br />

for functional duty?<br />

From another st<strong>and</strong>point the experiment seems to widen<br />

the breach between nerve force <strong>and</strong> electricity ,<br />

there being,<br />

as regards the latter, no analogy to this observation.<br />

I have made careful examinations <strong>of</strong> <strong>nerves</strong> which have<br />

been thus treated by compression. In all <strong>of</strong> them were<br />

noted some evidences <strong>of</strong> congestion, but the chief lesion<br />

lay in a very extensive disturbance <strong>of</strong> the contents <strong>of</strong> the<br />

nerve tubes. In some <strong>of</strong> them I could find scarcely an<br />

much as<br />

unaltered nerve tube,' the neural tissues looking<br />

they do seven or eight days after section. Yet through<br />

the tubes so disturbed the nerve force still has power to<br />

travel.<br />

These observations appear to me full <strong>of</strong> importance

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