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

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28 INJURIES OF NERVES.<br />

reptiles <strong>and</strong> birds. He has also discovered that in frogs<br />

the uerves <strong>of</strong> the skin cross the central line <strong>of</strong> the body.<br />

I have recently examined frogs to learn whether this<br />

anatomical crossing involves physiological <strong>consequences</strong>.<br />

To test this, the skin <strong>of</strong> the frog's back or belly was divided<br />

longitudinally at varying distances from the middle<br />

line, <strong>and</strong> then irritants, as biliary <strong>and</strong> stronger acids,<br />

were applied to the skin between the central raphe <strong>and</strong><br />

the line <strong>of</strong> section; no response was obtained to such<br />

irritations, even in frogs which had been previously rendered<br />

excitable by strychnia. The purpose, therefore,<br />

<strong>of</strong> such interchange <strong>of</strong> <strong>nerves</strong> must still be considered<br />

doubtful.<br />

During <strong>their</strong> distribution, the <strong>nerves</strong> from more or less<br />

remote parts <strong>of</strong> the nervous system in some localities<br />

run together, <strong>and</strong> then separate to reunite <strong>and</strong> part anew,<br />

thus forming, by the free communication between neighboring<br />

branches, a plexus or network, from which emerge<br />

finally the nerve trunks which are to be distributed to a<br />

particular member. This intricate interlacing seems to<br />

be merely an arrangement for the interchange <strong>of</strong> fibres,<br />

since those which enter the plexus acquire in it no physiological<br />

properties which they did not previously possess.<br />

A knowledge <strong>of</strong> these networks is essential to the studv<br />

<strong>of</strong> nerve wounds, because injuries<br />

<strong>of</strong> the plexuses, especially<br />

that <strong>of</strong> the neck, are very common in war, <strong>and</strong><br />

<strong>their</strong> arrangements enable us to explain in many cases<br />

the transmission <strong>of</strong> disease from one nerve to another,<br />

which is closely related to it in the plexus, or as its<br />

parent stem. After leaving the plexus, the limb <strong>nerves</strong><br />

are usually distributed with great regularity, anomalies<br />

being rather uncommon.<br />

While in most men we may take for granted that <strong>nerves</strong><br />

obey the normal law, it is still important to remember<br />

that in the arm especially, peculiar <strong>and</strong> exceptional ar-

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