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

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ANATOMY OF NERVES. 17<br />

The cylinder axis is a flexible rod <strong>of</strong> azotized matter<br />

which fills<br />

the tube formed by the white medullary tissue<br />

When the nerve is torn, the axis cylinder can<br />

around it.<br />

sometimes be seen projecting, button-like, from the torn<br />

end <strong>of</strong> the tubular membrane <strong>and</strong> medullary substance.<br />

Numerous conjectures have been formed as to the ultimate<br />

structure <strong>of</strong> this portion <strong>of</strong> the nerve tubule some<br />

;<br />

having described it as composed <strong>of</strong> minute longitudinal<br />

fibres, while others regard it as made up <strong>of</strong> laminte placed<br />

one upon another. Every physiological reason would teach<br />

us, however, to accept with Schultze, in Strieker's "H<strong>and</strong>buch,"<br />

the belief that the ultimate anatomical neural<br />

element is what he terms the primitive fibril,<br />

— <strong>of</strong> which a<br />

number, great or small, is needed to make an axis cylinder,—<br />

so that the primitive fibril is the essential nerve<br />

element around which, or around groups <strong>of</strong> which, may<br />

be the medullary sheath <strong>and</strong> the sheath <strong>of</strong> Schwann,—<br />

although <strong>of</strong> the modifications in physiological function<br />

which these impress upon it we know absolutely nothing.<br />

Fromman, <strong>and</strong> more recently Gr<strong>and</strong>ry,* by exposing<br />

the <strong>nerves</strong> to a peculiar treatment with nitrate <strong>of</strong> silver,<br />

reached the conclusion that the cylinder axis is<br />

composed<br />

<strong>of</strong> disks superimposed <strong>and</strong> isolated by a substance differing<br />

from them in composition. I have verified these<br />

observations on the sciatic nerve <strong>of</strong> the rabbit with preparations<br />

made by Dr. Keen, <strong>and</strong> obtained the same result,<br />

so that it seems difficult, considering the regularity <strong>of</strong> the<br />

structure thus brought out, to reach any other conclusion<br />

than that the axis is<br />

probably less simple in construction<br />

than has been believed. If we admit with Schultzef <strong>and</strong><br />

Strieker that this substance also possesses longitudinal<br />

strise, the likeness to the anatomical disposition <strong>of</strong> the<br />

* Journ. de I'Anat. et Phys., 1869, p. 289.<br />

f Disc. Acad. Bonn, Aug. 1868.

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