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

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CHAPTER 11.<br />

ANATOMY OP NERVES.<br />

Structure <strong>of</strong> <strong>nerves</strong>. — The nervous system consists essentially<br />

<strong>of</strong> receptive or controlling ganglionic centres, <strong>and</strong><br />

<strong>of</strong> the <strong>nerves</strong> which connect these with one another <strong>and</strong><br />

with the skin, muscles, <strong>and</strong> viscera. Kerves are usually<br />

divided into those known as cerebro-spinal <strong>and</strong> those belonging<br />

to the great sympathetic system. The former<br />

chiefly concern us at present, since, indeed, the latter are<br />

rarely injured, <strong>and</strong> since <strong>their</strong> diseases have only <strong>of</strong> late<br />

begun to claim attention. The former, <strong>of</strong>ten known as<br />

<strong>nerves</strong> <strong>of</strong> animal life, are such as emerge from the encephalon<br />

or from the spinal axis, <strong>and</strong> carry to every part <strong>of</strong><br />

the body excitations originating in the great centres, or<br />

in turn bring to these the numberless impressions arising<br />

from without, or having birth within the tissues themselves.<br />

Yet, varied as seems to be the character <strong>of</strong> the<br />

messages with which they are charged, an astonishing<br />

sameness <strong>of</strong> structure marks the organization <strong>of</strong> all these<br />

fibres.<br />

The encephalic <strong>nerves</strong> have certain peculiarities <strong>of</strong><br />

origin <strong>and</strong> <strong>of</strong> exit which we may have further occasion to<br />

mention in connection with the forms <strong>of</strong> injury to which<br />

these trunks are liable.<br />

The spinal <strong>nerves</strong> arise from either side <strong>of</strong> the medulla<br />

by two roots, distinguished as anterior <strong>and</strong> posterior, each<br />

having a number <strong>of</strong> rootlets. Those which form the posterior<br />

root pass through a small ganglionic enlargement ;<br />

those <strong>of</strong> the anterior stem unite without passing into a<br />

(13)

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