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

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24 INJURIES OF NERVES.<br />

highest level <strong>and</strong> attached to a string, which passed over<br />

a little roller <strong>and</strong> carried a pan on which weights were<br />

placed. The nerve was then tested by mechanical <strong>and</strong><br />

electrical irritation, <strong>and</strong> having been found to respond,<br />

weights were placed on the scale-pan, <strong>and</strong> these, with the<br />

amount <strong>of</strong> stretching <strong>of</strong> the nerve, were noted. In this,<br />

<strong>and</strong> in other experiments on frogs, it seemed to me that<br />

the nerve bore best a slow addition <strong>of</strong> a weight, which,<br />

suddenly added, caused abrupt loss <strong>of</strong> physiological properties.<br />

As the extension was increased, the muscles were<br />

thrown into a state <strong>of</strong> irregular convulsive activity,<br />

which<br />

did not cease altogether when the nerve was for a time<br />

allowed to relax. Slight mechanical injuries ceased to<br />

cause reaction when the nerve had elongated to the extent<br />

<strong>of</strong> one-fifth, but electricity still<br />

produced muscular contraction<br />

until the lengthening was equal to | <strong>of</strong> an inch in<br />

three inches. It is very probable that much less stretching<br />

will be found competent to destroy the perfect control<br />

<strong>of</strong> the will over the muscles, or to interfere with the conveyance<br />

<strong>of</strong> delicate sensory impressions to the centres.<br />

I have seen a curious illustration <strong>of</strong> the degree to which<br />

a nerve may be meddled with before losing its power to<br />

carry impressions. In a case <strong>of</strong> hospital gangrene <strong>of</strong><br />

the thigh, resulting in an enormous cavity, the sciatic<br />

nerve was left intact.<br />

During one <strong>of</strong> the dressings, this<br />

large trunk was at iirst quite roughly drawn out <strong>of</strong> the<br />

wound, <strong>and</strong> afterwards pushed down to the bottom or<br />

side <strong>of</strong> the cavity by the dressing employed. Some pain<br />

resulted, as may be supposed, but the sense <strong>of</strong> touch<br />

was scarcely disturbed. I witnessed the removal <strong>of</strong><br />

the dressings. The nerve must have been pushed fully<br />

four or five inches out <strong>of</strong> its patli, <strong>and</strong> very much<br />

elongated.<br />

The fibrous nature <strong>of</strong> the coarser nerve sheaths serves to<br />

protect the fibres from the ravages <strong>of</strong> disease, <strong>of</strong> which fact

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