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

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ANATOMY OF NERVES. 15<br />

which, running in every direction, <strong>and</strong> crossing each other<br />

at all<br />

imaginable angles, leave between them minute<br />

areolee <strong>of</strong> irregular form. Within, upon, <strong>and</strong> about the<br />

fibrous sheath, a considerable amount <strong>of</strong> fine adipose tissue<br />

exists in the primarj^, <strong>and</strong> even in the secondary, divisions<br />

<strong>of</strong> the nerve. It is met with in the most emaciated,<br />

<strong>and</strong> follows chiefly the track <strong>of</strong> the neural blood-vessels,<br />

or is found collected here <strong>and</strong> there in small masses.<br />

Contrary to the common opinion, Sappeyhas found that<br />

the vascularity <strong>of</strong> the nerve sheaths is greater than that <strong>of</strong><br />

ligaments, tendons, or aponeuroses, <strong>and</strong> approaches in this<br />

respect the spinal or cerebral pia mater.<br />

The arteries are exceedingly numerous, <strong>and</strong> lie chiefly<br />

between the walls <strong>of</strong> the fibrous partitions in the spaces<br />

formed by <strong>their</strong> juxtaposition. The veins, sometimes<br />

single, at others double, form, like the arteries, an intricate<br />

plexus, but neither are met with in the sheath <strong>of</strong> the<br />

ultimate nerve fibre.<br />

The nerve sheaths also possess <strong>nerves</strong> which follow the<br />

path <strong>of</strong> the vessels, <strong>and</strong> are less <strong>and</strong> less numerous as the<br />

nerve branches, until, on the smaller divisions, they are<br />

said to be absent. Sappey has described them as nervi<br />

nervorum, a phrase to which there is no objection, unless<br />

we attribute to the words too large a physiological significance,<br />

since, in reality, these fibres are rather <strong>nerves</strong> <strong>of</strong><br />

the sheath than <strong>of</strong> the <strong>nerves</strong> themselves. They in all<br />

respects resemble other neural fibres, except that they are<br />

unusually minute. Each nerve, as we follow it with the<br />

naked eye, surrounded <strong>and</strong> protected by<br />

its neurilemma<br />

<strong>of</strong> connective tissue, is capable <strong>of</strong> being further resolved<br />

by the microscope into rodlets or fasciculi, known as the<br />

fibres or tubules. Around each collection <strong>of</strong><br />

primitive<br />

these is the delicate sheath which Robin has admirably<br />

described as the perineurium. The structure <strong>of</strong> this covering<br />

is very simple. It is<br />

composed <strong>of</strong> an almost homo-

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