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

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20 INJURIES OF NERVES.<br />

are generally rounded <strong>of</strong>f at the upper <strong>and</strong> lower ends,<br />

<strong>and</strong> do not exhibit the lono-itudinal striation as do the<br />

Pacinian bodies, but, on the contrary, transverse nuclei."*<br />

Two <strong>nerves</strong> can be usually traced to these bodies, but <strong>their</strong><br />

after-relation to them is less clear. In some cases the<br />

nerve seems to envelop the corpuscle spirally, in others,<br />

to be lost in the centre <strong>of</strong> the mass. I have very little<br />

doubt that in some instances <strong>of</strong> local nervous disease the<br />

starting-point lies in the dermal nerve papillae. In a case<br />

to which I shall have to refer, the corpuscles <strong>of</strong> Pacini<br />

were certainly both too large <strong>and</strong> too numerous, <strong>and</strong> in<br />

one which I myself have seen, there was some probability<br />

that a neuroma <strong>of</strong> the thumb was merely an overgrown<br />

tact corpuscle.<br />

The corpuscles <strong>of</strong> Pacini consist <strong>of</strong> many concentrically<br />

arranged layers <strong>of</strong> connective tissue, always becoming<br />

more closely packed towards the centre, <strong>and</strong> surrounding<br />

a cavity filled with s<strong>of</strong>t, abundantly nucleated <strong>and</strong> easily<br />

alterable material, which coagulates after death, <strong>and</strong> into<br />

the interior <strong>of</strong> which the nerve fibres penetrate. These,<br />

after they have lost the medullary sheath <strong>and</strong> the sheath<br />

<strong>of</strong> Schwann,— which latter becomes continuous with the<br />

laminated — sheath <strong>of</strong> connective tissue investing the corpuscle,<br />

consist only <strong>of</strong> the axis cylinder, which terminates<br />

in a little bulb.<br />

The nerve corpuscles <strong>of</strong> Krause, described <strong>and</strong> depicted<br />

by him as existing in the conjunctiva, genitals, <strong>and</strong> other<br />

mucous surfaces, difl:er from the Pacinian corpuscles only<br />

hy the absence <strong>of</strong> a thick, laminated investment.!<br />

Most authors have held that these little bodies are apparatuses<br />

<strong>of</strong> reinforcement (Vulpian) for the impressions<br />

* Virchow, Cellular Pathology, translated by Dr. Chance, p. 277.<br />

New York, 1861.<br />

t Schultze, in Strieker's Histology, NewSyd. Soc. Transactions, p. 168,

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