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

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CHAPTER III.<br />

NEURO-PHYSIOLOGY.<br />

Varieties <strong>of</strong> <strong>nerves</strong>. — The <strong>nerves</strong> wliicli connect a limb<br />

with the centres fulfill the following functions :<br />

They<br />

convey outwardly motor impressions, resulting in voluntary<br />

or involuntary motion, as the case may be. They<br />

carry centripetally the myriads <strong>of</strong> impressions which constitute<br />

sensations, or which, unfelt as sensations, are excitomotory<br />

in purpose.<br />

sympathetic, exercises control over the flow <strong>of</strong> blood to the<br />

tissues. Section <strong>of</strong> these <strong>nerves</strong> paralytically dilates the<br />

Lastly, a system <strong>of</strong> <strong>nerves</strong>, known as<br />

vessels; galvanization contracts them. This s^'stem originates<br />

in the spinal cord, but there is also evidence that<br />

certain spinal <strong>nerves</strong>, unrelated to the sympathetic, possess<br />

the power to cause directly enlargement <strong>of</strong> arterioles <strong>and</strong><br />

increase <strong>of</strong> vasal supply.<br />

Through this compound group <strong>of</strong> <strong>nerves</strong> occur such<br />

nutritive changes as depend on increased or lessened flow<br />

<strong>of</strong> blood, but these are insuflicient to account for all the<br />

trophic changes which we witness from disease or injury;<br />

<strong>and</strong> hence has arisen the belief that there are also trophic<br />

<strong>nerves</strong> proper, which, apart from variable blood supplies,<br />

or in connection with these, bring about in the tissues<br />

alterations, examples <strong>of</strong> which I shall have to point out<br />

from time to time.<br />

In connection with nerve wounds <strong>and</strong> <strong>their</strong> <strong>consequences</strong>,<br />

we have to deal with alterations due to the<br />

destruction or irritation <strong>of</strong> the various fibres <strong>of</strong> <strong>nerves</strong><br />

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